Ichishita, John

Ichishita, John is an individual health care provider with primary practice located at 824 N Il Route 83 , Mundelein IL 60060-9159. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ichishita, John can be contacted via phone (847) 362-2020.

Contact Information

Primary practice address
824 N Il Route 83 Mundelein IL 60060-9159
Phone: (847) 362-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046.010675 Illinois

Profile Details

NPI number 1164854386
LBN Legal business name Ichishita, John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2013
Last updated Jun 15th, 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.

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