Provider Demographics
NPI:1144054297
Name:OU, ALISON YITING (OD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:YITING
Last Name:OU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1809 W ARGYLE ST APT 3C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-6477
Mailing Address - Country:US
Mailing Address - Phone:925-819-6879
Mailing Address - Fax:
Practice Address - Street 1:5301 N CLARK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2113
Practice Address - Country:US
Practice Address - Phone:773-232-0448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.011916152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist