Thaddeus, Ltd is a Optometrist in Chicago, Illinois. Thaddeus, Ltd practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Thaddeus, Ltd is 1831120005. The last update date is 2009-11-12.
Thaddeus, Ltd's current location address is 4017 N Milwaukee Ave, Chicago, Illinois. You can contact this provider via phone number 7735452660. The mailing address for Thaddeus, Ltd is 4017 N Milwaukee Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thaddeus, Ltd |
|---|---|
| Address | 4017 N Milwaukee Ave, Chicago, Illinois |
| Phone Number | 7735452660 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DOCT |
|---|---|
| Authorized Official Name | Vidulich Paul Spencer |
| Credentials | O.D. |
| Telephone Number | 7733273000 |
NPI Number Detail
| NPI Number | 1831120005 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2009-11-12 |
Provider Mailing Address Detail
| Address | 4017 N Milwaukee Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606411834 |
| Phone Number | 7735452660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 060-0005772 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique provider identifier assigned to Thaddeus, Ltd?
The Thaddeus, Ltd has been issued the NPI (National Provider Identifier) 1831120005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Thaddeus, Ltd located?
The Thaddeus, Ltd is located at 4017 N Milwaukee Ave, Chicago, IL 606411834.
What is Thaddeus, Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thaddeus, Ltd's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Thaddeus, Ltd receive its 1831120005 assignment from the Centers for Medicare & Medicaid Services?
The Thaddeus, Ltd was assigned its 1831120005 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the information regarding Thaddeus, Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Thaddeus, Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-11-12.