Individual
DR. TOSHIO NAKAJIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
165 S RANDALL RD, ELGIN, IL 60123
(847) 888-1555
(847) 888-2508
Mailing address
165 S RANDALL RD, ELGIN, IL 60123-5551
(847) 888-1555
(847) 888-2508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008123
IL
152W00000X
Optometrist
046008123
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410017896
RAILROAD MEDICARE
IL
01
—
4515286
BCBS
IL
01
—
L08183
PIN
IL
Enumeration date
01/08/2007
Last updated
06/18/2018
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