Individual
DR. BILL M PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9 S LINCOLNWAY, NORTH AURORA, IL 60542-1608
(638) 844-2500
(630) 844-2599
Mailing address
9 S LINCOLNWAY, NORTH AURORA, IL 60542-1608
(638) 844-2500
(630) 844-2599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046 007008
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11437952
CAQH PIN
IL
01
—
2218742
FIRST HEALTH PIN
IL
01
—
363187524
CIGNA
IL
01
—
4584027
BCBS PIN
IL
01
—
5534404
CCN PIN
IL
01
—
K37007
MEDICARE PROVIDER NUMBER
IL
Enumeration date
06/15/2005
Last updated
06/25/2008
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