Vidas, Mark

Vidas, Mark is an sole proprietor health care provider with primary practice located at 135 W River St , Bourbonnais IL 60914-1964. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Vidas, Mark can be contacted via phone (815) 939-2222.

Contact Information

Primary practice address
135 W River St Bourbonnais IL 60914-1964
Phone: (815) 939-2222
Fax: (815) 939-0970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 046007828 Illinois

Profile Details

NPI number 1881787901
LBN Legal business name Vidas, Mark
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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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