Search › Illinois › 152W00000X
Vladislav Souboch, OD
NPI 1174404867 · on the registry since 2025
Practice
- Address
- 5115 152nd St
Oak Forest, IL 60452 - Phone
- (708) 645-6030
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois