Dygola, Shawn Alan
Dygola, Shawn Alan is an individual health care provider with primary practice located at 1947 Cherry Ln , Northbrook IL 60062-3636. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dygola, Shawn Alan can be contacted via phone (847) 564-2020.Contact Information
Primary practice address
1947 Cherry Ln
Northbrook IL 60062-3636
Phone: (847) 564-2020
Fax: (847) 564-2064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-008725 | Illinois |
Profile Details
| NPI number | 1124191846 |
|---|---|
| LBN Legal business name | Dygola, Shawn Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jan 25th, 2024 - about last year |
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 | 1124191846 | NPPES |
| Illinois | MEDICAID | 046008725 |
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