Individual
DR. SANELA PUSKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2000 CENTRAL ST, EVANSTON, IL 60201-2218
(847) 864-0300
(847) 864-0348
Mailing address
2000 CENTRAL ST, EVANSTON, IL 60201-2218
(847) 864-0300
(847) 864-0348
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009721
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009721
—
IL
01
—
1636706
BCBS
IL
01
—
210209
MEDICARE GROUP
IL
01
—
7235044
AETNA
IL
01
—
8825444
MULTIPLAN
IL
Enumeration date
08/20/2006
Last updated
06/30/2014
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