Individual
DR. DANIELLE JULIENNE NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
875 N MILWAUKEE AVE UNIT 300, VERNON HILLS, IL 60061-3167
(847) 325-4440
(847) 325-4443
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010701
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636706
BCBS
IL
01
—
210209
MEDICARE GROUP
IL
01
—
211019
MEDICARE GROUP
IL
01
—
7235044
AETNA
IL
01
—
8825444
MULTIPLAN
IL
Enumeration date
07/10/2013
Last updated
11/01/2023
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