Serpico, Anthony A
Serpico, Anthony A is an individual health care provider with primary practice located at 6 E Phillip Rd Ste 1110 , Vernon Hills IL 60061. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Serpico, Anthony A can be contacted via phone (847) 816-9996.Contact Information
Primary practice address
6 E Phillip Rd Ste 1110
Vernon Hills IL 60061
Phone: (847) 816-9996
Fax: (847) 816-3142
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 046009099 | Illinois |
Profile Details
NPI number | 1083741979 |
---|---|
LBN Legal business name | Serpico, Anthony A |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2007 |
Last updated | May 18th, 2018 - about 6 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 | 1083741979 | NPPES |
Illinois | Other | 04915265 | BLUE CROSS - BLUE SHIELD |
Illinois | MEDICAID | 046009099 | BLUE CROSS - BLUE SHIELD |
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