Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 046007193 | IL |
NPI | 1164642286 |
---|---|
Provider Name | Dr. Alan Karikomi |
First Address | Chicago, IL 60602-3702 |
Second Address | Chicago, IL 60602-3702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2007 |
Last Update Date | 09/11/2010 |