Park, Bill M

Park, Bill M is an sole proprietor health care provider with primary practice located at 9 S Lincolnway , North Aurora IL 60542-1608. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Park, Bill M can be contacted via phone (638) 844-2500.

Contact Information

Primary practice address
9 S Lincolnway North Aurora IL 60542-1608
Fax: (630) 844-2599
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046 007008 Illinois

Profile Details

NPI number 1912902115
LBN Legal business name Park, Bill M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Jun 25th, 2008 - about 17 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 1912902115 NPPES
Illinois Other 363187524 CIGNA
Illinois Other K37007 CIGNA
Illinois Other 4584027 CIGNA
Illinois Other 363187524 CIGNA
Illinois Other 5534404 CIGNA
Illinois Other 363187524 CIGNA
Illinois Other 2218742 CIGNA
Illinois Other 11437952 CIGNA

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