Individual
KATHLEEN AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
852 N STATE ST., CHICAGO, IL 60610
(312) 419-1967
Mailing address
852 N STATE ST., CHICAGO, IL 60610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33786TLG
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
12/08/2025
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