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DR. FREDERICK JOHN KAHLE O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1417050311

Individual Registrant:
DR. FREDERICK JOHN KAHLE O.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
10260 S. HARLEM AVE WAL-MART VISION CENTER BRIDGEVIEW, IL 60455 US
Tel: 708-499-2988  Fax: 708-499-3057

Contact information for business:
522 REGAN DR  EAST DUNDEE, IL 60118-3027 US
Tel: 847-844-6973  Fax: --

Registration Information:
NPI: 1417050311
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
IL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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