Individual
DR. DIANA F PENUELA-O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
245 STONEGATE RD, ALGONQUIN, IL 60102-5614
(847) 658-0120
(847) 658-0610
Mailing address
245 STONEGATE RD, ALGONQUIN, IL 60102-5614
(847) 658-0120
(847) 658-0610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008362
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05605385
BLUE CROSS BLUE SHIELD
IL
01
—
5636255
CIGNA
IL
01
—
7217471
AETNA
IL
Enumeration date
08/24/2006
Last updated
01/14/2014
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