Fazelian, Mary

Fazelian, Mary is an individual health care provider with primary practice located at 7305 W Irving Park Rd , Chicago IL 60634-3547. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Fazelian, Mary can be contacted via phone (847) 722-8319.

Contact Information

Primary practice address
7305 W Irving Park Rd Chicago IL 60634-3547
Phone: (847) 722-8319
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Occupational Vision 152WX0102X 3190 AT Oregon
Eye and Vision Services Providers / Optometrist 152W00000X 046009825 Illinois

Profile Details

NPI number 1801914007
LBN Legal business name Fazelian, Mary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated May 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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