Individual
DR. TANAPOL SIRITHAVEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 W 47TH ST, CHICAGO, IL 60609-3232
(773) 640-5384
Mailing address
1400 W 47TH ST, CHICAGO, IL 60609-3232
(773) 640-5384
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46009972
IL
Other
Enumeration date
07/03/2007
Last updated
11/12/2015
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