Individual
DR. MIRIAM M. WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2900 PATRIOT BLVD, GLENVIEW, IL 60026-8046
(847) 730-1006
(847) 730-1027
Mailing address
2900 PATRIOT BLVD, GLENVIEW, IL 60026-8046
(847) 730-1006
(847) 730-1027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008047
IL
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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