| Visioncare Specialists | |
|
1070 E Oakton St Des Plaines IL 60018-2033 | |
| (847) 294-6722 | |
| (847) 294-6822 |
| Full Name | Visioncare Specialists |
|---|---|
| Speciality | Clinic/Center |
| Location | 1070 E Oakton St, Des Plaines, Illinois |
| Authorized Official Name and Position | Sam Salituro (PRESIDENT) |
| Authorized Official Contact | 8472946722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visioncare Specialists 1070 E Oakton St Des Plaines IL 60018-2033 Ph: (847) 294-6722 | Visioncare Specialists 1070 E Oakton St Des Plaines IL 60018-2033 Ph: (847) 294-6722 |
| NPI Number | 1154572923 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 10/09/2008 |
| Medicare PECOS PAC ID | 4880752278 |
|---|---|
| Medicare Enrollment ID | O20081029000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154572923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 046008548 (Illinois) | Primary |
| Provider Name | Sam M Salituro |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720104813 PECOS PAC ID: 3072671460 Enrollment ID: I20081029000643 |
| Provider Name | Forum Purnendu Dave |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043695901 PECOS PAC ID: 1355638818 Enrollment ID: I20160927001307 |
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