Organization
DR. ALAN E. KNOTEK, OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN E. KNOTEK O.D. (OWNER)
(630) 357-6880
Entity
Organization
Contact information
Practice address
29 S WEBSTER ST, SUITE 104, NAPERVILLE, IL 60540-5356
(630) 357-6880
Mailing address
29 S WEBSTER ST, SUITE 104, NAPERVILLE, IL 60540-5356
(630) 357-6880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006864
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154665
EYEMED
IL
01
—
32244900
BCBS
IL
Enumeration date
10/16/2008
Last updated
10/16/2008
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