Individual
DR. PATRICIA ANN SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7751
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010333
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636706
BCBS
IL
01
—
046010333
DIVISION OF PROFESSIONAL REGULATION
IL
01
—
346003100
DIVISION OF PROFESSIONAL REGULATION- CONTROLLED SUBSTANCE
IL
01
—
7235044
AETNA
IL
01
—
8825444
MULTIPLAN
IL
Enumeration date
07/06/2010
Last updated
01/19/2017
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