IndividualActive
Maonekeekepoba Gwan
NPI 1730936220 · Technician/Technologist · Buffalo Grove, IL
Provider details
- NPI number
- 1730936220
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1431 Mchenry Rd Ste 105
Buffalo Grove, IL 60089-1378
Phone: (708) 892-2900
Approximate (ZIP-level) locationGet directions
Mailing address
1431 Mchenry Rd Ste 105
Buffalo Grove, IL 60089-1378
Registry dates
- Enumerated
- 2024-05-02
- Last updated
- 2024-05-02
- Certified
- 2024-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.