Individual
MARIYAH ABDUL MUQEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1024 GROVE LN, LOMBARD, IL 60148-2309
(630) 812-8170
Mailing address
1024 GROVE LN, LOMBARD, IL 60148-2309
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011803
IL
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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