Garreffa, Anthony J

Garreffa, Anthony J is an sole proprietor health care provider with primary practice located at 7417 Madison St , Forest Park IL 60130-1502. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Garreffa, Anthony J can be contacted via phone (708) 366-2020.

Contact Information

Primary practice address
7417 Madison St Forest Park IL 60130-1502
Phone: (708) 366-2020
Fax: (708) 366-3265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-007331 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 2318 Colorado

Profile Details

NPI number 1982757696
LBN Legal business name Garreffa, Anthony J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Mar 4th, 2009 - about 15 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 1982757696 NPPES
Illinois Other 046007331 ILLINOIS MEDICAID NUMBER

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