Organization
GURNEE EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALONGI O.D. (OWNER/OPTOMETRIST)
(847) 623-3937
Entity
Organization
Contact information
Practice address
312 TRI STATE PKWY, SUITE 100, GURNEE, IL 60031-5283
(847) 623-3937
Mailing address
312 TRI STATE PKWY, SUITE 100, GURNEE, IL 60031-5283
(847) 623-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007902
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208248
MEDICARE GROUP NUMBER
IL
01
—
4923647
BLUE SHIELD PROVIDER NUM
IL
01
—
4932533
BLUE SHIELD PROVIDER NUM
IL
01
—
P00259509
MEDICARE RAILROAD PIN
IL
Enumeration date
09/21/2007
Last updated
10/19/2010
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