Park, Quentin Gin

Park, Quentin Gin is an individual health care provider with primary practice located at 9 S Lincolnway , North Aurora IL 60542-1608. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Park, Quentin Gin 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009672 Illinois

Profile Details

NPI number 1003830340
LBN Legal business name Park, Quentin Gin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 25th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003830340 NPPES
Illinois Other 4584027 BCBS PIN
Illinois Other 363187524 BCBS PIN
Illinois Other K11567 BCBS PIN
Illinois Other 363187524 BCBS PIN
Illinois Other 363187524 BCBS PIN

Popular Providers