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1487210142
VASICKA KASIVISVANATHAN
CHICAGO, IL
NPI
1487210142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046.011298)
Enumeration Date
2019-05-17
Last Update Date
2019-11-22
Business Address
VASICKA KASIVISVANATHAN
214 S WABASH AVE
CHICAGO, IL 60604-2303
Phone number: 312-588-0401
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Mailing Address
VASICKA KASIVISVANATHAN
214 S WABASH AVE
CHICAGO, IL 60604-2303
Phone number: 312-588-0401
Copy
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