Individual
PAUL A FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6601 N AVONDALE AVE, SUITE 102, CHICAGO, IL 60631-1572
(773) 792-1011
(773) 889-0224
Mailing address
6601 N AVONDALE AVE, SUITE 102, CHICAGO, IL 60631-1572
(773) 792-1011
(773) 889-0224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622243
BCBS IL GROUP
IL
Enumeration date
03/16/2006
Last updated
10/01/2007
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