Search › Illinois › 152W00000X
Mariam Ethezaz, OD
NPI 1962996181 · on the registry since 2018
Practice
- Address
- 2305 Willow Rd
Glenview, IL 60025 - Phone
- (847) 832-9690
- Organisation at this address
- Pearle Vision
Eyeguyz Iii, LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 1243 W Boughton Rd, Bolingbrook, IL
- 4777 Northwest Hwy, Crystal Lake, IL
- 1701 W Larkin Avenue, Crest Hill, IL
- 2501 W Lawrence Ave, Chicago, IL
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois