Park, Quentin Gin
Park, Quentin Gin is an individual 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, Quentin Gin can be contacted via phone (630) 844-2500.Contact Information
Primary practice address
9 S Lincolnway
North Aurora IL 60542-1608
Phone: (630) 844-2500
Fax: (630) 844-2599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046009672 | Illinois |
Profile Details
| NPI number | 1003830340 |
|---|---|
| LBN Legal business name | Park, Quentin Gin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jun 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003830340 | NPPES |
| Illinois | Other | 4584027 | BCBS PIN |
| Illinois | Other | 363187524 | BCBS PIN |
| Illinois | Other | K11567 | BCBS PIN |
| Illinois | Other | 363187524 | BCBS PIN |
| Illinois | Other | 363187524 | BCBS PIN |
Popular Providers
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Park, Lena G
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