Surowiak, Richard Joseph

Surowiak, Richard Joseph is an sole proprietor health care provider with primary practice located at 6314 Northwest Hwy , Crystal Lake IL 60014-7935. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Surowiak, Richard Joseph can be contacted via phone (815) 459-4074.

Contact Information

Primary practice address
6314 Northwest Hwy Crystal Lake IL 60014-7935
Phone: (815) 459-4074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008545 Illinois

Profile Details

NPI number 1811040983
LBN Legal business name Surowiak, Richard Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - 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.

Request for update

Popular Providers