Individual
DR. CHAD ANTHONY HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8525 S HARLEM AVE, BURBANK, IL 60459-2293
(708) 599-0050
(708) 599-1099
Mailing address
8525 S HARLEM AVE, BURBANK, IL 60459-2293
(708) 599-0050
(708) 599-1099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.009852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009852
—
IL
Enumeration date
07/20/2006
Last updated
08/01/2012
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