Individual
DR. KELLY AUNG CHINOSORNVATANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2003 MONTGOMERY RD STE 104, AURORA, IL 60504-9059
(630) 425-8221
Mailing address
2003 MONTGOMERY RD STE 104, AURORA, IL 60504-9059
(630) 425-8221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010365
IL
Other
Enumeration date
07/09/2010
Last updated
03/27/2024
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