| Dr Quentin Gin Park, OD | |
|
1250 W Lake St Ste 19c, Addison, IL 60101-5744 | |
| (630) 543-0607 | |
| Not Available |
| Full Name | Dr Quentin Gin Park |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1250 W Lake St Ste 19c, Addison, 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 | CIGNA |
| 363187524 | Other | IL | PHCS PIN |
| 363187524 | Other | IL | AETNA |
| K11567 | Other | IL | MEDICARE PROVIDER NUMBER |
| 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 |
| Provider Name | The Eye Care Center, Ltd. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144325358 PECOS PAC ID: 0143347047 Enrollment ID: O20110127001177 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Quentin Gin Park, OD 1250 W Lake St Ste 19c, Addison, IL 60101-5744 Ph: (630) 543-0607 | Dr Quentin Gin Park, OD 1250 W Lake St Ste 19c, Addison, IL 60101-5744 Ph: (630) 543-0607 |
Dr. Curran Allenstein, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1006 N Rohlwing Rd, Addison, IL 60101 Phone: 630-620-0170 Fax: 630-620-0186 | |
Eddie Lawando, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1006 N Rohlwing Rd, Addison, IL 60101 Phone: 630-932-7770 | |
Jessica A Vitale, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 W Lake St Ste 106, Addison, IL 60101 Phone: 630-773-9410 Fax: 630-773-9473 | |
James A Vitale O.d., P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1600 W Lake St, Suite 106, Addison, IL 60101 Phone: 630-773-9410 | |
Dr. Steve P. Butzon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 207 S Addison Rd, Addison, IL 60101 Phone: 630-279-8866 Fax: 630-279-2609 | |
Amal M. Hassan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1050 N Rohlwing Rd, Addison, IL 60101 Phone: 630-424-0038 |