Dziuba, Elizabeth Grace
Dziuba, Elizabeth Grace is an individual health care provider with primary practice located at 373 N Wood Dale Rd , Wood Dale IL 60191-1531. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dziuba, Elizabeth Grace can be contacted via phone (630) 422-1413.Contact Information
Primary practice address
373 N Wood Dale Rd
Wood Dale IL 60191-1531
Phone: (630) 422-1413
Fax: (630) 422-1454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046008878 | Illinois |
Profile Details
| NPI number | 1114961208 |
|---|---|
| LBN Legal business name | Dziuba, Elizabeth Grace |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jul 29th, 2015 - about 9 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 | 1114961208 | NPPES |
| Illinois | MEDICAID | 046008878 |
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