Healthcare Provider Details

I. General information

NPI: 1346405172
Provider Name (Legal Business Name): SABINA RIZWAN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2008
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 W 95TH ST
OAK LAWN IL
60453-3888
US

IV. Provider business mailing address

8544 TIMBER RIDGE DR
BURR RIDGE IL
60527-5692
US

V. Phone/Fax

Practice location:
  • Phone: 708-636-9393
  • Fax:
Mailing address:
  • Phone: 630-854-0922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046.010106
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: