Elizabeth G. Dziuba, Od | |
373 N Wood Dale Rd, Wood Dale, IL 60191-1531 | |
(630) 422-1413 | |
(630) 422-1454 |
Full Name | Elizabeth G. Dziuba, Od |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 373 N Wood Dale Rd, Wood Dale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053448118 | NPI | - | NPPES |
046008878 | Other | IL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046008878 (Illinois) | Primary |
Provider Name | Elizabeth G Dziuba |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114961208 PECOS PAC ID: 1759485667 Enrollment ID: I20070403000253 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth G. Dziuba, Od 373 N Wood Dale Rd, Wood Dale, IL 60191-1531 Ph: (630) 422-1413 | Elizabeth G. Dziuba, Od 373 N Wood Dale Rd, Wood Dale, IL 60191-1531 Ph: (630) 422-1413 |
Dr. Elizabeth Grace Dziuba, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 373 N Wood Dale Rd, Wood Dale, IL 60191 Phone: 630-422-1413 Fax: 630-422-1454 | |
Dr. Judith M. Bobus, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 363 W Irving Park Rd, Wood Dale, IL 60191 Phone: 630-773-5757 Fax: 630-773-0165 |