Park, Lena G

Park, Lena G is an individual health care provider with primary practice located at 9 S Lincolnway , North Aurora IL 60542-1608. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Park, Lena G can be contacted via phone (630) 844-2500.

Contact Information

Primary practice address
9 S Lincolnway North Aurora IL 60542-1608
Phone: (630) 844-2500
Fax: (630) 844-2599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009865 Illinois

Profile Details

NPI number 1275568073
LBN Legal business name Park, Lena G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 25th, 2008 - about 17 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 1275568073 NPPES
Illinois Other K28764 MEDICARE PROVIDER NUMBER
Illinois Other 4584027 MEDICARE PROVIDER NUMBER
Illinois Other 11683632 MEDICARE PROVIDER NUMBER
Illinois Other 363187524 MEDICARE PROVIDER NUMBER
Illinois Other 363187524 MEDICARE PROVIDER NUMBER
Illinois Other 363187524 MEDICARE PROVIDER NUMBER

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