Individual
JODI ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2743 N CLARK ST, CHICAGO, IL 60614-1502
(773) 923-2078
Mailing address
2743 N CLARK ST, CHICAGO, IL 60614-1502
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011832
IL
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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