Aida I Badillo OD

NPI 1528065612 - Optometrist - 152W00000X

NPI Details
NPI 1528065612
Gender Female
Enumeration Date 07/05/2005
Last Updated 04/17/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
2932 BRECKENRIDGE LN
SUITE 5
LOUISVILLE KY, 40220-1400, US
Phone (502) 883-1015
Fax (502) 883-1019
Business Location
5855 RELIABLE PKWY
CHICAGO IL, 60686-0001, US
Phone (502) 955-2020
Fax (502) 736-4490
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18003026
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According to our database, Aida I Badillo OD NPI is 1528065612, taxonomy code is 152W00000X and license number is 18003026, license state is located at Indiana. Aida I Badillo OD physically located at 2932 Breckenridge Ln, Louisville KY, 40220-1400. NPI Number Aida I Badillo OD has the Individual type.

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1528065612 NPI number is provided on an as is basis without warranty of any kind. 1528065612 is maintained by the National Plan & Provider Enumeration System. The contents of Aida I Badillo OD are for informational purposes only.