Individual
DR. MARK BRIAN COLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D,
Contact information
Practice address
11412 S HARLEM AVE, WORTH, IL 60482-2004
(708) 422-7000
(708) 448-4295
Mailing address
11412 S HARLEM AVE, WORTH, IL 60482-2004
(708) 422-7000
(708) 448-4295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010615
IL
152W00000X
Optometrist
18003760A
IN
Other
Enumeration date
06/24/2011
Last updated
09/14/2013
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