SearchIllinois152W00000X

Mariah Sandy

NPI 1447062294 · on the registry since 2025 · sole proprietor

Practice

Address
111 N State St
Chicago, IL 60602
Phone
(312) 634-9535
Organisation at this address
Samket Vision Group Inc
Luxottica Of America Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-23

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