Individual
MICHAEL D MACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4958 FOREST AVE, DOWNERS GROVE, IL 60515-3508
(630) 737-1001
(630) 737-1003
Mailing address
4958 FOREST AVE, DOWNERS GROVE, IL 60515-3508
(630) 737-1001
(630) 737-1003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008708
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801997655
BCBS
IL
01
—
2234272
BCBS
IL
Enumeration date
08/02/2006
Last updated
07/21/2011
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