Individual
DR. FOROUZANDEH ALAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7107 W DEMPSTER ST, NILES, IL 60714-2131
(847) 965-2695
(847) 965-0250
Mailing address
7107 W DEMPSTER ST, NILES, IL 60714-2131
(847) 965-2695
(847) 965-0250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010140
IL
152W00000X
Optometrist
047934493
IL
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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