Organization
ARQUILLA EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL P ARQUILLA O.D. (DOCTORPRESIDENT)
(708) 798-2030
Entity
Organization
Contact information
Practice address
825 MAPLE AVE, HOMEWOOD, IL 60430-2031
(708) 798-2030
(708) 798-2080
Mailing address
825 MAPLE AVE, HOMEWOOD, IL 60430-2031
(708) 798-2030
(708) 798-2080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636916
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
03/28/2007
Last updated
05/15/2008
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