| |
160 Danada Sq W, Wheaton, IL 60189-2041 | |
(630) 752-0595 | |
(630) 752-0145 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 160 Danada Sq W, Wheaton, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003325135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046-008520 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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6233 Cermak Rd, Berwyn, IL 60402-2317 Ph: (708) 749-2020 | 160 Danada Sq W, Wheaton, IL 60189-2041 Ph: (630) 752-0595 |
Dr. Ann E Clark, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-9561 | |
Hajera Shahreen Khan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 109 Danada Sq E, Wheaton, IL 60189 Phone: 331-716-4955 | |
Dr. Rasha Dhaher, Optometrist Medicare: Medicare Enrolled Practice Location: 2254 Blacksmith Dr, Wheaton, IL 60189 Phone: 630-492-7262 |