Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAONEKEEKEPOBA GWAN
ActiveMAONEKEEKEPOBA GWAN is a Optician healthcare provider located in BUFFALO GROVE, Illinois. NPI 1730936220 is currently active in the NPPES registry. Verify at CMS.
Optician · BUFFALO GROVE, IL
Registration Details
- NPI Number
- 1730936220
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2024 (2.3058318566714 yrs)
- Last Updated
- May 2, 2024
Practice Information
- Address
-
1431 MCHENRY RD STE 105BUFFALO GROVE, IL, 600891378Browse IL providers · Browse ZIP 60089
- Phone
- 7088922900
- Primary Specialty
-
Optician
156F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.