Maduzia, Donald

Maduzia, Donald is an individual health care provider with primary practice located at 203 Railroad Drive Donald Maduzia Od, Clarendon Hills IL 60514. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maduzia, Donald can be contacted via phone (630) 323-3202.

Contact Information

Primary practice address
203 Railroad Drive Donald Maduzia Od Clarendon Hills IL 60514
Phone: (630) 323-3202
Fax: (630) 321-0512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007789 Illinois

Profile Details

NPI number 1518049626
LBN Legal business name Maduzia, Donald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jun 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518049626 NPPES
Illinois Other 1700052834 MEDICARE DURABLE GOODS
Illinois Other 2284078 MEDICARE DURABLE GOODS

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