Hill, Roger H

Hill, Roger H is an individual health care provider with primary practice located at 4301 N Mulford Rd , Loves Park IL 61111. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hill, Roger H can be contacted via phone (815) 282-5500.

Contact Information

Primary practice address
4301 N Mulford Rd Loves Park IL 61111
Fax: (815) 633-2305
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 46006666 Illinois

Profile Details

NPI number 1235212275
LBN Legal business name Hill, Roger H
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 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 1235212275 NPPES
Other 0040007719 BCBS

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