Most Relevant Information
Provider Data
| NPI Number: | 1003528167 |
| Provider Name: | ANETA ANNA STOCH OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 046011703 |
Most Important Dates
| Enumeration Date: | 12/20/2022 |
| Last Updated: | 12/20/2022 |
Provider Practice Location
3457 W 111TH ST
CHICAGO
IL
606553335
Practice Location Phone/Fax
| Phone: | 7732532175 |
| Fax: |
Provider Mailing Location
PO BOX 39
LAKE ZURICH
IL
600470039
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |