Individual
MS. ANDREA GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9661 W 143RD ST STE 202, ORLAND PARK, IL 60462-2088
(708) 361-6141
(708) 361-5327
Mailing address
9661 W 143RD ST STE 202, ORLAND PARK, IL 60462-2088
(708) 361-6141
(708) 361-5327
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011312
IL
152W00000X
Optometrist
046011312
IL
Other
Enumeration date
06/13/2019
Last updated
07/26/2021
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