Individual
GLENN R LONDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1103 E 31ST ST, LA GRANGE PARK, IL 60526-1280
(708) 588-1781
Mailing address
1234 LATHROP AVE, RIVER FOREST, IL 60305-1116
(708) 771-5537
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007566
IL
152WC0802X
Corneal and Contact Management Optometrist
046007566
IL
152WL0500X
Low Vision Rehabilitation Optometrist
046007566
IL
152WP0200X
Pediatric Optometrist
046007566
IL
152WX0102X
Occupational Vision Optometrist
046007566
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007566
—
IL
01
—
1684555
BLUE CROSS BLUE SHIELD
IL
01
—
195546334402
HUMANA
IL
Enumeration date
04/25/2006
Last updated
09/27/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us