Chiaramonti, Nicholas Anthony

Chiaramonti, Nicholas Anthony is an individual health care provider with primary practice located at 6233 Cermak Rd , Berwyn IL 60402-2317. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chiaramonti, Nicholas Anthony can be contacted via phone (708) 749-2020.

Contact Information

Primary practice address
6233 Cermak Rd Berwyn IL 60402-2317
Phone: (708) 749-2020
Fax: (708) 749-2069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008520 Illinois

Profile Details

NPI number 1841262540
LBN Legal business name Chiaramonti, Nicholas Anthony
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Sep 11th, 2009 - 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 1841262540 NPPES
Illinois MEDICAID 046008520

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