Provider Demographics
NPI:1952840928
Name:LODHIA, HINA ALI (OD)
Entity Type:Individual
Prefix:DR
First Name:HINA
Middle Name:ALI
Last Name:LODHIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3110 W BELMONT AVE STE 1E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5787
Mailing Address - Country:US
Mailing Address - Phone:312-626-2376
Mailing Address - Fax:312-626-6296
Practice Address - Street 1:3110 W BELMONT AVE STE 1E
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-5787
Practice Address - Country:US
Practice Address - Phone:312-626-2376
Practice Address - Fax:313-626-6296
Is Sole Proprietor?:No
Enumeration Date:2017-02-23
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.011074152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist