Individual
DR. MARTIN J SIKORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
440 N MAIN ST, GLEN ELLYN, IL 60137-5124
(630) 469-4141
(630) 469-2015
Mailing address
440 N MAIN ST, GLEN ELLYN, IL 60137-5124
(630) 469-4141
(630) 469-2015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.006197
IL
152WC0802X
Corneal and Contact Management Optometrist
046.006197
IL
152WP0200X
Pediatric Optometrist
046.006197
IL
152WV0400X
Vision Therapy Optometrist
046.006197
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410007883
RAILROAD MEDICARE
IL
Enumeration date
07/13/2006
Last updated
06/23/2016
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