| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KASHIFA ANSARI | 1467145326 | 2024-06-09 |
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 | 820 S DAMEN AVE CHICAGO, IL US |
| Practice Office Telephone | 3125698387 |
| 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 |