Individual
CHEN-YU KUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3319 RIDGE RD, LANSING, IL 60438-3111
(708) 474-1145
Mailing address
5201 CUMNOR RD, DOWNERS GROVE, IL 60515-5210
(630) 969-9668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009369
IL
152W00000X
Optometrist
47-930067
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200858478
TAX ID
IL
01
—
IL9369
EYEMED ID #
IL
Enumeration date
02/13/2007
Last updated
06/02/2021
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