Torre, Gustavo

Torre, Gustavo is an sole proprietor health care provider with primary practice located at 2425 N Milwaukee Ave , Chicago IL 60647-2627. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Torre, Gustavo can be contacted via phone (773) 772-2020.

Contact Information

Primary practice address
2425 N Milwaukee Ave Chicago IL 60647-2627
Phone: (773) 772-2020
Fax: (773) 772-3320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 467141 Illinois

Profile Details

NPI number 1023175536
LBN Legal business name Torre, Gustavo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023175536 NPPES
Illinois MEDICAID 046007141

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