Individual
SUSAN PARK TSENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9928 S WESTERN AVE, CHICAGO, IL 60643-1831
(773) 303-8279
Mailing address
9928 S WESTERN AVE, CHICAGO, IL 60643-1831
(773) 303-8279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.009987
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009987
—
IL
Enumeration date
07/23/2007
Last updated
03/10/2014
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