Provider Demographics
NPI:1073704185
Name:HAQ, ALMAS F (OD)
Entity Type:Individual
Prefix:
First Name:ALMAS
Middle Name:F
Last Name:HAQ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-3159
Mailing Address - Country:US
Mailing Address - Phone:630-855-7445
Mailing Address - Fax:
Practice Address - Street 1:1402 BUTTERFIELD RD
Practice Address - Street 2:BUTTERFIELD PLAZA
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1031
Practice Address - Country:US
Practice Address - Phone:630-629-2025
Practice Address - Fax:630-629-7640
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist