Individual
DR. STEVEN J TRZEPACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
223 E MAIN ST, STREATOR, IL 61364-2950
(815) 673-1591
(815) 672-5203
Mailing address
223 E MAIN ST, STREATOR, IL 61364-2950
(815) 673-1591
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000046-7823
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046-7823
—
IL
01
—
5084023
BLUE CROSS
IL
Enumeration date
10/24/2005
Last updated
07/27/2012
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