Organization
DONALD V MADUZIA O.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD V MADUZIA O.D. (OPTOMOTRIST)
(630) 323-3202
Entity
Organization
Contact information
Practice address
203 RAILROAD AVENUE, CLARENDON HILLS, IL 60514
(630) 323-3202
(630) 321-0512
Mailing address
203 RAILROAD AVENUE, CLARENDON HILLS, IL 60514
(630) 323-3202
(630) 321-0512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.007789
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2284078
BC/BS
IL
01
—
2284078
BCBS
—
01
—
4123680001
DURABLE GOODS
—
Enumeration date
05/08/2008
Last updated
10/27/2008
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