Brenart, Robert W

Brenart, Robert W is an individual health care provider with primary practice located at 120 E Countryside Pkwy , Yorkville IL 60560-1877. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brenart, Robert W can be contacted via phone (630) 553-6166.

Contact Information

Primary practice address
120 E Countryside Pkwy Yorkville IL 60560-1877
Fax: (630) 553-6178
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046006926 Illinois

Profile Details

NPI number 1881761393
LBN Legal business name Brenart, Robert W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Nov 5th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881761393 NPPES
Illinois MEDICAID 046006926

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