Individual
ERIC KEONI POMAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1259 RICKERT DR STE 101, NAPERVILLE, IL 60540-8904
(630) 790-1872
(630) 355-2515
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
085001151
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615954
BLUECROSSBLUESHIELD
IL
01
—
131024700
DEPT OF LABOR OWCP
—
Enumeration date
03/26/2008
Last updated
07/25/2023
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