Ma, Sun Ae

Ma, Sun Ae is an individual health care provider with primary practice located at 5901 Dempster St Suite 101, Morton Grove IL 60053-3014. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Ma, Sun Ae can be contacted via phone (847) 470-1115.

Contact Information

Primary practice address
5901 Dempster St Suite 101 Morton Grove IL 60053-3014
Phone: (847) 470-1115
Fax: (847) 470-1141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008065 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 046-008065 Illinois
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 046-008065 Illinois

Profile Details

NPI number 1750375622
LBN Legal business name Ma, Sun Ae
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Sep 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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