Takesuye, Mark Akira
Takesuye, Mark Akira is an individual health care provider with primary practice located at 3232 W Bryn Mawr Ave , Chicago IL 60659. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is his primary health care specialty. Takesuye, Mark Akira can be contacted via phone (773) 588-4433.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 46.011174 | Illinois |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 46.011174 | Illinois |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 46.011174 | Illinois |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 46.011174 | Illinois |
Profile Details
NPI number | 1558890210 |
---|---|
LBN Legal business name | Takesuye, Mark Akira |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2017 |
Last updated | Jul 21st, 2022 - 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.
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