Daniel J. Medema O.D.

NPI 1003849456 - Optometrist - 152W00000X

NPI Details
NPI 1003849456
Gender Male
Enumeration Date 07/09/2006
Last Updated 03/22/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
279 N NORTHWEST HWY
PALATINE IL, 60067-5326, US
Phone (847) 358-4970
Fax (847) 358-4972
Business Location
814 SPRINGFIELD DR
ROSELLE IL, 60172-3435, US
Phone (630) 881-3339
Fax (847) 358-4972
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 0468031
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According to our database, Dr. Daniel J. Medema O.D. NPI is 1003849456, taxonomy code is 152W00000X and license number is 0468031, license state is located at Illinois. Daniel J. Medema O.D. physically located at 279 N Northwest Hwy, Palatine IL, 60067-5326. NPI Number Daniel J. Medema O.D. has the Individual type.

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1003849456 NPI number is provided on an as is basis without warranty of any kind. 1003849456 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel J. Medema O.D. are for informational purposes only.