Individual
DR. LYUDMILA P PODBEREZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3455 DEMPSTER ST, SKOKIE, IL 60076-2455
(847) 763-0600
(847) 763-0660
Mailing address
3455 DEMPSTER ST, SKOKIE, IL 60076-2455
(847) 763-0600
(847) 763-0660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010277
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010277
—
IL
Enumeration date
07/08/2009
Last updated
03/10/2013
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