Provider Demographics
NPI:1437414596
Name:KACHEROVA, VERONICA (OD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:
Last Name:KACHEROVA
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 1:2442 PALAZZO CT
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4677
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:239 GOLF MILL CTR
Practice Address - Street 2:SUITE 255
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-5658
Practice Address - Country:US
Practice Address - Phone:847-297-2286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.010552152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist