Individual
YOLANDA HURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
1701 S 1ST AVE STE 308, MAYWOOD, IL 60153-2419
(708) 865-9005
(708) 865-9050
Mailing address
1701 S 1ST AVE STE 308, MAYWOOD, IL 60153-2419
(708) 865-9005
(708) 865-9050
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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