Zost, Michael Gerard
Zost, Michael Gerard is an individual health care provider with primary practice located at 191 Waukegan Rd Suite 115, Northfield IL 60093-2743. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Zost, Michael Gerard can be contacted via phone (847) 716-2340.Contact Information
Primary practice address
191 Waukegan Rd Suite 115
Northfield IL 60093-2743
Phone: (847) 716-2340
Fax: (847) 716-2341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0467979 | Illinois |
Profile Details
| NPI number | 1023060969 |
|---|---|
| LBN Legal business name | Zost, Michael Gerard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jun 25th, 2021 - about 5 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 | 1023060969 | NPPES |
| Illinois | Other | 0718540001 | DMERC |
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