Individual
MISS JENNIFER SUE HARTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3849
(312) 949-7000
(312) 949-7660
Mailing address
625 DEERFIELD RD, APT #405, DEERFIELD, IL 60015-3232
(847) 514-8946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.009882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009882
—
IL
Enumeration date
07/24/2006
Last updated
12/29/2008
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