Serpico, Anthony A

Serpico, Anthony A is an individual health care provider with primary practice located at 6 E Phillip Rd Ste 1110 , Vernon Hills IL 60061. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Serpico, Anthony A can be contacted via phone (847) 816-9996.

Contact Information

Primary practice address
6 E Phillip Rd Ste 1110 Vernon Hills IL 60061
Phone: (847) 816-9996
Fax: (847) 816-3142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009099 Illinois

Profile Details

NPI number 1083741979
LBN Legal business name Serpico, Anthony A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated May 18th, 2018 - about 8 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 1083741979 NPPES
Illinois Other 04915265 BLUE CROSS - BLUE SHIELD
Illinois MEDICAID 046009099 BLUE CROSS - BLUE SHIELD

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