Fontana, Duane Louis

Fontana, Duane Louis is an individual health care provider with primary practice located at 3335 N Arlington Heights Rd , Arlington Heights IL 60004-1573. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fontana, Duane Louis can be contacted via phone (847) 398-0800.

Contact Information

Primary practice address
3335 N Arlington Heights Rd Arlington Heights IL 60004-1573
Phone: (847) 398-0800
Fax: (847) 398-0391
Website:
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Health care specialties

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

Profile Details

NPI number 1588609622
LBN Legal business name Fontana, Duane Louis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Dec 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588609622 NPPES
Illinois Other 0001616047 BLUE CROSS BLUE SHIELD

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