Blank, Roger
Blank, Roger is an individual health care provider with primary practice located at 603 Cortland Dr , Lake Zurich IL 60047-2366. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blank, Roger can be contacted via phone (847) 975-1653.Contact Information
Primary practice address
603 Cortland Dr
Lake Zurich IL 60047-2366
Phone: (847) 975-1653
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-007466 | Illinois |
Profile Details
| NPI number | 1578619391 |
|---|---|
| LBN Legal business name | Blank, Roger |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Mar 22nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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