Disalvoost, Christine

Disalvoost, Christine is an individual health care provider with primary practice located at 10001 W 143Rd St , Orland Park IL 60462-2026. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Disalvoost, Christine can be contacted via phone (708) 349-2600.

Contact Information

Primary practice address
10001 W 143Rd St Orland Park IL 60462-2026
Phone: (708) 349-2600
Fax: (708) 349-9201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008134 Illinois

Profile Details

NPI number 1851341697
LBN Legal business name Disalvoost, Christine
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Feb 10th, 2010 - about 14 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 1851341697 NPPES
Illinois Other CN3870 RR MEDICARE GRP OL
Illinois Other 0363241858 RR MEDICARE GRP OL
Illinois Other 0618250001 RR MEDICARE GRP OL
Illinois Other 1148260001 RR MEDICARE GRP OL
Illinois Other 0363448367 RR MEDICARE GRP OL
Illinois Other 508980 RR MEDICARE GRP OL
Illinois Other 0410017240 RR MEDICARE GRP OL
Illinois Other 0990005851 RR MEDICARE GRP OL
Illinois Other DA8522 RR MEDICARE GRP OL
Illinois Other 985800 RR MEDICARE GRP OL

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