Individual
DR. JAVERIA AZHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515
(630) 743-4500
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011076
IL
152WC0802X
Corneal and Contact Management Optometrist
046011076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04601107601
—
IL
Enumeration date
07/02/2014
Last updated
06/18/2018
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