NPI 1003358466

Mary Gouris, OD

Practitioner Optometrist Chicago, IL

Practice location

Address: 225 N Michigan Ave, Chicago, IL 60601-7757
Phone: (312) 819-0199

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046011071 (IL)

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Registry record

NPI: 1003358466
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2016
Record last updated: 15 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.