Individual
KINZY KANISHA FRIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4401 S HARLEM AVE, STICKNEY, IL 60402-4250
(708) 788-3400
Mailing address
4401 S HARLEM AVE, STICKNEY, IL 60402-4250
(708) 788-3400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010892
IL
Other
Enumeration date
07/06/2015
Last updated
04/26/2017
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