Ralph Geiderman O.D.

NPI 1073633681 - Optometrist - 152W00000X

NPI Details
NPI 1073633681
Gender Male
Enumeration Date 03/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3136 N LINCOLN AVE
CHICAGO IL, 60657-3117, US
Phone (773) 871-8210
Fax (773) 871-4290
Business Location
3136 N LINCOLN AVE
CHICAGO IL, 60657-3117, US
Phone (773) 871-8210
Fax (771) 871-4290
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number IL046007178
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According to our database, Dr. Ralph Geiderman O.D. NPI is 1073633681, taxonomy code is 152W00000X and license number is IL046007178, license state is located at Illinois. Ralph Geiderman O.D. physically located at 3136 N Lincoln Ave, Chicago IL, 60657-3117. NPI Number Ralph Geiderman O.D. has the Individual type.

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1073633681 NPI number is provided on an as is basis without warranty of any kind. 1073633681 is maintained by the National Plan & Provider Enumeration System. The contents of Ralph Geiderman O.D. are for informational purposes only.