Organization
FAMILY EYE PROFESSIONALS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA KHALIL OD (OWNER/ OPTOMETRIST)
(708) 963-8895
Entity
Organization
Contact information
Practice address
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2667
(708) 963-8895
Mailing address
13311 HAMPTON CT, ORLAND PARK, IL 60462-1324
(708) 963-8895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225581192
—
IL
Enumeration date
08/07/2020
Last updated
08/07/2020
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