Individual
DR. SAMEENA NAZ RAZVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6641 GRAND AVE STE D, GURNEE, IL 60031-5262
(847) 856-1200
Mailing address
5527 35TH ST UNIT 102, KENOSHA, WI 53144-4807
(802) 999-1028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46010019
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012551
—
VT
Enumeration date
05/11/2006
Last updated
09/20/2007
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