Bubanko, Pauline Pakla
Bubanko, Pauline Pakla is an individual health care provider with primary practice located at 1230 N Cedar Rd Unit A , New Lenox IL 60451-1272. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bubanko, Pauline Pakla can be contacted via phone (815) 485-6533.Contact Information
Primary practice address
1230 N Cedar Rd Unit A
New Lenox IL 60451-1272
Phone: (815) 485-6533
Fax: (815) 485-6534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046009290 | Illinois |
Profile Details
| NPI number | 1750466504 |
|---|---|
| LBN Legal business name | Bubanko, Pauline Pakla |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Apr 17th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750466504 | NPPES |
| Illinois | Other | 046009290 | STATE LICENSE |
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