Declark, Craig Matthew

Declark, Craig Matthew is an individual health care provider with primary practice located at 6336 W Gunnison St , Chicago IL 60630-2954. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Declark, Craig Matthew can be contacted via phone (773) 763-4666.

Contact Information

Primary practice address
6336 W Gunnison St Chicago IL 60630-2954
Phone: (773) 763-4666
Fax: (773) 763-4967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007272 Illinois

Profile Details

NPI number 1033101993
LBN Legal business name Declark, Craig Matthew
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated May 20th, 2008 - about 18 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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