Foreman, Paul A
Foreman, Paul A is an individual health care provider with primary practice located at 6601 N Avondale Ave Suite 102, Chicago IL 60631-1572. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Foreman, Paul A can be contacted via phone (773) 792-1011.Contact Information
Primary practice address
6601 N Avondale Ave Suite 102
Chicago IL 60631-1572
Phone: (773) 792-1011
Fax: (773) 889-0224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | Illinois |
Profile Details
| NPI number | 1356310841 |
|---|---|
| LBN Legal business name | Foreman, Paul A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Oct 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356310841 | NPPES |
| Illinois | Other | 1622243 | BCBS IL GROUP |
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