Individual
MR. PAUL JOSEPH LEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3250 N. ARLINGTON HEIGHTS RD., SUITE 109, ARLINGTON HEIGHTS, IL 60004-1534
(847) 255-1040
(847) 506-0843
Mailing address
3250 N ARLINGTON HEIGHTS RD STE 109, ARLINGTON HEIGHTS, IL 60004-1574
(847) 255-1040
(847) 506-0843
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46006351
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1684003
BLIE CORSS BLUE SHIELD
IL
Enumeration date
12/27/2006
Last updated
10/23/2017
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