Takesuye, Mark Akira

Takesuye, Mark Akira is an individual health care provider with primary practice located at 3232 W Bryn Mawr Ave , Chicago IL 60659. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is his primary health care specialty. Takesuye, Mark Akira can be contacted via phone (773) 588-4433.

Contact Information

Primary practice address
3232 W Bryn Mawr Ave Chicago IL 60659
Phone: (773) 588-4433
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 46.011174 Illinois
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 46.011174 Illinois
Eye and Vision Services Providers / Pediatrics 152WP0200X 46.011174 Illinois
Eye and Vision Services Providers / Vision Therapy 152WV0400X 46.011174 Illinois

Profile Details

NPI number 1558890210
LBN Legal business name Takesuye, Mark Akira
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2017
Last updated Jul 21st, 2022 - about 4 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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