Lerdvoratavee, Chula
Lerdvoratavee, Chula is an individual health care provider with primary practice located at 2075 Wiesbrook Rd , Oswego IL 60543-8312. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Lerdvoratavee, Chula can be contacted via phone (630) 844-0908.Contact Information
Primary practice address
2075 Wiesbrook Rd
Oswego IL 60543-8312
Phone: (630) 844-0908
Fax: (630) 844-0677
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 046-007841 | Illinois |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 046-007841 | Illinois |
Eye and Vision Services Providers / Optometrist | 152W00000X | 046-007841 | Illinois |
Profile Details
NPI number | 1346230604 |
---|---|
LBN Legal business name | Lerdvoratavee, Chula |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2005 |
Last updated | Jul 21st, 2022 - about 2 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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