Dewaard, David D

Dewaard, David D is an individual health care provider with primary practice located at 1056 W Wilson Ave , Chicago IL 60640-5622. He recently has 2 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 / Optometrist is his primary health care specialty. Dewaard, David D can be contacted via phone (773) 271-5774.

Contact Information

Primary practice address
1056 W Wilson Ave Chicago IL 60640-5622
Phone: (773) 271-5774
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Illinois
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X Indiana

Profile Details

NPI number 1013086990
LBN Legal business name Dewaard, David D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 19 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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