| Stonebrook Optical Llc | |
|
6641 Grand Ave Ste D, Gurnee, IL 60031-5262 | |
| (847) 856-1200 | |
| (847) 856-8527 |
| Full Name | Stonebrook Optical Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6641 Grand Ave Ste D, Gurnee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114330792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046-009457 (Illinois) | Primary |
| Provider Name | Adalina Kulbak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972651636 PECOS PAC ID: 5294833547 Enrollment ID: I20070611000026 |
| Provider Name | Eugene Berkovich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366514176 PECOS PAC ID: 5698821551 Enrollment ID: I20090917000165 |
| Provider Name | Svetlana Kugel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336208131 PECOS PAC ID: 8022164888 Enrollment ID: I20090918000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Stonebrook Optical Llc 6641 Grand Ave Ste D, Gurnee, IL 60031-5262 Ph: (847) 856-1200 | Stonebrook Optical Llc 6641 Grand Ave Ste D, Gurnee, IL 60031-5262 Ph: (847) 856-1200 |
Drs. Gandolfi & Swafford L.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1475 Dilleys Road, Ste 4, Gurnee, IL 60031 Phone: 847-856-3939 Fax: 847-855-8821 | |
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