Divito, Domenic A.

Divito, Domenic A. is an sole proprietor health care provider with primary practice located at 17 N Northwest Hwy , Park Ridge IL 60068-3339. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Divito, Domenic A. can be contacted via phone (847) 823-2255.

Contact Information

Primary practice address
17 N Northwest Hwy Park Ridge IL 60068-3339
Phone: (847) 823-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1457409500
LBN Legal business name Divito, Domenic A.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 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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