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1164975892
DIYANA IVANOVA
CHICAGO, IL
NPI
1164975892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046011050)
Enumeration Date
2016-07-29
Last Update Date
2021-04-26
Business Address
Dr. DIYANA IVANOVA OD
1950 W POLK ST
CHICAGO, IL 60612-3723
Phone number: 312-864-6000
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Mailing Address
Dr. DIYANA IVANOVA OD
1950 W POLK ST FL 8
CHICAGO, IL 60612-3723
Phone number: 312-864-6000
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