Foreman, Paul A

Foreman, Paul A is an individual health care provider with primary practice located at 6601 N Avondale Ave Suite 102, Chicago IL 60631-1572. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Foreman, Paul A can be contacted via phone (773) 792-1011.

Contact Information

Primary practice address
6601 N Avondale Ave Suite 102 Chicago IL 60631-1572
Phone: (773) 792-1011
Fax: (773) 889-0224
Website:
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Health care specialties

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

Profile Details

NPI number 1356310841
LBN Legal business name Foreman, Paul A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356310841 NPPES
Illinois Other 1622243 BCBS IL GROUP

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