- Practice location
- 1047 Oakwood Ave, Des Plaines, IL 60016-6332
- Phone
- 617-356-8117
- Fax
- —
- Last updated
- July 12, 2019
2020 Illinois PC is a healthcare organization based in Des Plaines, IL. The NPI number for 2020 Illinois PC is 1841842549. The current practice location address is 1047 Oakwood Ave, Des Plaines, IL 60016-6332 and the office can be reached by phone at 617-356-8117. The NPI was assigned on July 12, 2019 and the record was last updated in NPPES on July 12, 2019.
●Provider Profile Details
- NPI Number
- 1841842549
- Provider Name
- 2020 Illinois PC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- David Gibson, OD · Chief Medical Officer · 919-880-6066
- Enumeration Date
- July 12, 2019
- Last Update Date
- July 12, 2019
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1047 Oakwood Ave
Des Plaines, IL 60016-6332 - City
- Des Plaines
- State
- Illinois
- ZIP
- 60016-6332
- Country
- US
- Phone Number
- 617-356-8117
✉Business Mailing Address
- Address
- 33 Arch St Fl 17
Boston, MA 02110-1424 - City
- Boston
- State
- MA
- ZIP
- 02110-1424
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist 193400000X - Single Specialty Group | 152W00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Des Plaines, IL
View all providers in Des Plaines →?Frequently Asked Questions
What is the NPI number of 2020 Illinois PC?
The NPI number of 2020 Illinois PC is 1841842549. It was assigned on July 12, 2019 and is currently active in the NPPES registry.
What is the specialty of 2020 Illinois PC?
2020 Illinois PC is registered under the primary taxonomy Optometrist (code 152W00000X).
Where does 2020 Illinois PC practice?
The practice location is 1047 Oakwood Ave, Des Plaines, IL 60016-6332. The office can be reached at 617-356-8117 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841842549 directly on the NPPES registry website at npiregistry.cms.hhs.gov.