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Individual

DR. ROBERT ALONGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
312 TRI STATE PKWY, STE. 100, GURNEE, IL 60031-5283
(847) 623-3937
(847) 623-9836
Mailing address
312 TRI STATE PKWY, STE. 100, GURNEE, IL 60031-5283
(847) 623-3937
(847) 623-9836

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007902
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208248
MEDICARE GROUP NUMBER
IL
01
4923647
BLUE SHIELD PROVIDER NUM
IL
01
4932533
BLUE SHIELD PROVIDER NUM
IL
01
DD9094
MEDICARE RAILROAD GROUP#
IL
01
P00259509
MEDICARE RAILRAOD
IL
Enumeration date
04/26/2006
Last updated
01/26/2018
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