Dr Quentin Gin Park, OD | |
9 S Lincolnway, North Aurora, IL 60542-1608 | |
(630) 844-2500 | |
(630) 844-2599 |
Full Name | Dr Quentin Gin Park |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 9 S Lincolnway, North Aurora, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003830340 | NPI | - | NPPES |
4584027 | Other | IL | BCBS PIN |
363187524 | Other | IL | PHCS PIN |
K11567 | Other | IL | MEDICARE PROVIDER NUMBER |
363187524 | Other | IL | CIGNA |
363187524 | Other | IL | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046009672 (Illinois) | Primary |
Provider Name | Bill M Park |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912902115 PECOS PAC ID: 9830151018 Enrollment ID: I20070503000504 |
Mailing Address | Practice Location Address |
---|---|
Dr Quentin Gin Park, OD 9 S Lincolnway, North Aurora, IL 60542-1608 Ph: (630) 844-2500 | Dr Quentin Gin Park, OD 9 S Lincolnway, North Aurora, IL 60542-1608 Ph: (630) 844-2500 |
Dr. Lena G Park, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 9 S Lincolnway, North Aurora, IL 60542 Phone: 630-844-2500 Fax: 630-844-2599 | |
Park Family Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9 S Lincolnway, North Aurora, IL 60542 Phone: 630-844-2500 Fax: 630-844-2599 | |
Dr. Bill M Park, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 9 S Lincolnway, North Aurora, IL 60542 Phone: 638-844-2500 Fax: 630-844-2599 |