Organization
DR STANLEY DUSHMAN OD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY D DUSHMAN OD (PRES)
(847) 800-6691
Entity
Organization
Contact information
Practice address
1671 MISSON HILLS ROAD, #302, NORTH BROOK, IL 60062-5733
(847) 800-6691
(847) 272-1735
Mailing address
1671 MISSON HILLS ROAD, #302, NORTH BROOK, IL 60062-5733
(847) 800-6691
(847) 272-1735
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
046005878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0184550001
DEMERC
IL
05
—
046005878
—
IL
Enumeration date
09/25/2007
Last updated
03/07/2023
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