Basic Information
| Provider Information | |||||||||
| NPI: | 1073704185 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAQ | ||||||||
| FirstName: | ALMAS | ||||||||
| MiddleName: | F | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 SYCAMORE AVE | ||||||||
| Address2: | |||||||||
| City: | STREAMWOOD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601073159 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6308557445 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1402 BUTTERFIELD RD | ||||||||
| Address2: | BUTTERFIELD PLAZA | ||||||||
| City: | DOWNERS GROVE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605151031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6306292025 | ||||||||
| FaxNumber: | 6306297640 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2007 | ||||||||
| LastUpdateDate: | 08/05/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | IL | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.