Individual
DR. SHAWN ALAN DYGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1947 CHERRY LN, NORTHBROOK, IL 60062-3636
(847) 564-2020
(847) 564-2064
Mailing address
9707 KEDVALE AVE, SKOKIE, IL 60076-1121
(847) 673-6178
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008725
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008725
—
IL
Enumeration date
11/17/2006
Last updated
01/25/2024
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