Jason H. Greenberg O.D.

NPI 1003977349 - Optometrist - 152W00000X

NPI Details
NPI 1003977349
Gender Male
Enumeration Date 12/12/2006
Last Updated 09/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
409 N. HARLEM AVE.
OAK PARK IL, 60302, US
Phone (708) 358-1967
Fax (708) 358-9396
Business Location
711 W GORDON TER
UNIT 521
CHICAGO IL, 60613-2274, US
Phone (773) 426-3055
Fax (773) 348-9538
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 46009476
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According to our database, Dr. Jason H. Greenberg O.D. NPI is 1003977349, taxonomy code is 152W00000X and license number is 46009476, license state is located at Illinois. Jason H. Greenberg O.D. physically located at 409 N. Harlem Ave., Oak Park IL, 60302. NPI Number Jason H. Greenberg O.D. has the Individual type.

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1003977349 NPI number is provided on an as is basis without warranty of any kind. 1003977349 is maintained by the National Plan & Provider Enumeration System. The contents of Jason H. Greenberg O.D. are for informational purposes only.