Leung, Alison

Leung, Alison is an individual health care provider with primary practice located at 3241 S Michigan Ave , Chicago IL 60616-3878. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Leung, Alison can be contacted via phone (312) 225-6200.

Contact Information

Primary practice address
3241 S Michigan Ave Chicago IL 60616-3878
Fax: (312) 949-7389
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046010559 Illinois
Eye and Vision Services Providers / Pediatrics 152WP0200X 046010559 Illinois

Profile Details

NPI number 1164787727
LBN Legal business name Leung, Alison
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2012
Last updated May 31st, 2013 - about 12 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 1164787727 NPPES
Illinois Other 502720066 MEDICARE PTAN
Illinois MEDICAID 046010559 MEDICARE PTAN

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