Individual
MARY F ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3849
(312) 225-6200
(319) 949-7600
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3849
(312) 949-7309
(312) 949-7653
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008468
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008468
—
IL
Enumeration date
08/31/2005
Last updated
01/20/2012
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