| |
324 E Roosevelt Rd, Wheaton, IL 60187-5563 | |
(630) 668-0378 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist - Corneal And Contact Management |
Location | 324 E Roosevelt Rd, Wheaton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467616235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046008403 (Illinois) | Secondary |
152WC0802X | Optometrist - Corneal And Contact Management | 046008403 (Illinois) | Primary |
Provider Name | Christian G Burch |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699883033 PECOS PAC ID: 7315952652 Enrollment ID: I20060208000301 |
Mailing Address | Practice Location Address |
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324 E Roosevelt Rd, Wheaton, IL 60187-5563 Ph: (630) 668-0378 | 324 E Roosevelt Rd, Wheaton, IL 60187-5563 Ph: (630) 668-0378 |
Dr. Ann E Clark, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-9561 | |
Hajera Shahreen Khan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 109 Danada Sq E, Wheaton, IL 60189 Phone: 331-716-4955 | |
Dr. Rasha Dhaher, Optometrist Medicare: Medicare Enrolled Practice Location: 2254 Blacksmith Dr, Wheaton, IL 60189 Phone: 630-492-7262 |