Tabak, David J.
Tabak, David J. is an sole proprietor health care provider with primary practice located at 530 N Hough St Ste 140 , Barrington IL 60010-3163. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tabak, David J. can be contacted via phone (847) 382-2020.Contact Information
Primary practice address
530 N Hough St Ste 140
Barrington IL 60010-3163
Phone: (847) 382-2020
Fax: (847) 382-1241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-007705 | Illinois |
Profile Details
| NPI number | 1013906916 |
|---|---|
| LBN Legal business name | Tabak, David J. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Nov 25th, 2014 - about 12 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 | 1013906916 | NPPES |
| Illinois | MEDICAID | 046007705 |
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