Provider / Organization | NPI | Date Certified |
---|---|---|
KASHIFA ANSARI | 1467145326 | 2023-05-29 |
Kashifa Ansari is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1467145326. Registration indicates Kashifa Ansari is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Ophthalmic Care (Eye & Vision Services Providers, Optometrist) (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
Entity Type | Individual |
Provider Name | Dr. Kashifa Ansari OD |
Practice Office Address | 3241 S MICHIGAN AVE CHICAGO, IL US |
Practice Office Telephone | 3122256200 |
Practice Office Fax | 3129497617 |
Mailing Address | 2S646 AVENUE VENDOME OAK BROOK, IL 605231074 US |
Business Telephone | 6306733937 |
Address | City / State | Phone / Fax |
---|---|---|
9270 Joliet Rd | Hodgkins, IL 605254186 | 7088543990 |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 046011773
IL |