Organization
BILL M. PARK
Active
Other names
Park Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL M PARK OD (OWNER)
(630) 844-2500
Entity
Organization
Contact information
Practice address
9 S LINCOLNWAY, NORTH AURORA, IL 60542-1608
(630) 844-2500
(630) 844-2599
Mailing address
9 S LINCOLNWAY, NORTH AURORA, IL 60542-1608
(630) 844-2500
(630) 844-2599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007008
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4584027
BCBS PIN
IL
01
—
DG2164
MEDICARE RAILROAD
IL
Enumeration date
10/25/2005
Last updated
06/25/2008
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