Organization
JAMES R. SANDERSON, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RICHARD SANDERSON O.D. (OPTOMETRIST -PRESIDENT)
(708) 349-7571
Entity
Organization
Contact information
Practice address
9924 W 143RD PL, ORLAND PARK, IL 60462-2567
(708) 349-7571
(708) 460-9355
Mailing address
9924 W 143RD PL, ORLAND PARK, IL 60462-2567
(708) 349-7571
(708) 460-9355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-006366
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184654733
NPI
IL
Enumeration date
03/18/2011
Last updated
03/18/2011
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