Lorenzana, Ingryd J

Lorenzana, Ingryd J is an individual health care provider with primary practice located at 2 Executive Ct Ste 3 , South Barrington IL 60010-9507. 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 / Pediatrics is her primary health care specialty. Lorenzana, Ingryd J can be contacted via phone (847) 891-8003.

Contact Information

Primary practice address
2 Executive Ct Ste 3 South Barrington IL 60010-9507
Fax: (847) 891-8045
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008743 Illinois
Eye and Vision Services Providers / Pediatrics 152WP0200X 046008743 Illinois

Profile Details

NPI number 1295726040
LBN Legal business name Lorenzana, Ingryd J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2005
Last updated Jan 16th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295726040 NPPES
Illinois MEDICAID 046008743

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