Individual
ANGELO MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
880 BEDFORD RD, MORRIS, IL 60450-1209
(815) 942-5500
(815) 942-1851
Mailing address
880 BEDFORD RD, MORRIS, IL 60450-1209
(815) 942-5500
(815) 942-1851
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046 008832
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003084001
BLUE CROSS BLUE SHIELD IL
IL
05
—
046008832
—
IL
Enumeration date
01/16/2007
Last updated
09/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us