Ottaviano, Adam J
Ottaviano, Adam J is an sole proprietor health care provider with primary practice located at 2625 Elisha Ave , Zion IL 60099-2607. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ottaviano, Adam J can be contacted via phone (847) 746-1223.Contact Information
Primary practice address
2625 Elisha Ave
Zion IL 60099-2607
Phone: (847) 746-1223
Fax: (847) 746-1225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 346.003090046.010342 | Illinois |
Profile Details
| NPI number | 1801100094 |
|---|---|
| LBN Legal business name | Ottaviano, Adam J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2010 |
| Last updated | Jun 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801100094 | NPPES |
| Illinois | Other | 216799001 | MEDICARE PTAN |
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