Dennis H Ireland OD

NPI 1053304402 - Optometrist - 152W00000X

NPI Details
NPI 1053304402
Gender Male
Enumeration Date 08/31/2005
Last Updated 08/08/2013
Entity Type Individual
Active Over 12 years ago
Practice Location
CHICAGO IL, 60616-3849, US
Phone (312) 225-6200
Fax (312) 949-7660
Business Location
7777 LAKE ST
RIVER FOREST IL, 60305-1734, US
Phone (708) 771-0500
Fax (708) 771-0500
Taxonomy Code 152W00000X
License State Illinois
License Number 046006539
Remove 1053304402 NPI Number

According to our database, Dennis H Ireland OD NPI is 1053304402, taxonomy code is 152W00000X and license number is 046006539, license state is located at Illinois. Dennis H Ireland OD physically located at 3241 S Michigan Ave, Chicago IL, 60616-3849. NPI Number Dennis H Ireland OD has the Individual type.

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1053304402 NPI number is provided on an as is basis without warranty of any kind. 1053304402 is maintained by the National Plan & Provider Enumeration System. The contents of Dennis H Ireland OD are for informational purposes only.