Organization
J. A. NOLAN, OD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH NOLAN O.D. (PRESIDENT)
(708) 422-7000
Entity
Organization
Contact information
Practice address
11412 S HARLEM AVE, WORTH, IL 60482-2004
(708) 422-7000
(708) 448-4295
Mailing address
11412 S HARLEM AVE, WORTH, IL 60482-2004
(708) 422-7000
(708) 448-4295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0467216
IL
Other
Enumeration date
07/19/2005
Last updated
01/03/2008
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