Korsgarden, Joshua L

Korsgarden, Joshua L is an individual health care provider with primary practice located at 472 N State Route 47 Suite E, Sugar Grove IL 60554-8106. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Korsgarden, Joshua L can be contacted via phone (630) 650-2041.

Contact Information

Primary practice address
472 N State Route 47 Suite E Sugar Grove IL 60554-8106
Phone: (630) 650-2041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 047-930861 Illinois

Profile Details

NPI number 1821036237
LBN Legal business name Korsgarden, Joshua L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Mar 7th, 2023 - about 3 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 1821036237 NPPES
Illinois Other 346-002120 CS LICENSE
Illinois MEDICAID 047-930861 CS LICENSE

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