Individual
ANDREA CAMILLE HONIGSBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9650 GROSS POINT RD STE 1900, SKOKIE, IL 60076-5006
(224) 251-2020
(224) 251-2010
Mailing address
9650 GROSS POINT RD STE 1900, SKOKIE, IL 60076-5006
(224) 251-2020
(224) 251-2010
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036106521
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036106521
IL STATE MEDIAL LICENSE
IL
Enumeration date
08/23/2006
Last updated
12/08/2020
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