Sidra Ahmad, OD Valid NPI
Individual provider · Optometrist · Crystal Lake, IL
- NPI
- 1366115206
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 046011554 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-07-27
- Last updated
- 2024-05-07
Practice location
300 Memorial Dr Ste 300
Crystal Lake, IL 60014-6273
(815) 459-7110