Thaddeus is a Eyewear Supplier in Chicago, Illinois. Thaddeus practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Thaddeus is 1336331909. The last update date is 2007-10-04.
Thaddeus's current location address is 4812 N. Milwaukee, Chicago, Illinois. You can contact this provider via phone number 7735452660. The mailing address for Thaddeus is 4812 N. Milwaukee, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thaddeus |
|---|---|
| Address | 4812 N. Milwaukee, Chicago, Illinois |
| Phone Number | 7735452660 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Vidulich P Spencer |
| Credentials | O.D. |
| Telephone Number | 7733273000 |
NPI Number Detail
| NPI Number | 1336331909 |
|---|---|
| Provider Enumeration Date | 2007-08-16 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 4812 N. Milwaukee |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60646 |
| Phone Number | 7735452660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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What is the unique provider identifier assigned to Thaddeus?
The Thaddeus has been issued the NPI (National Provider Identifier) 1336331909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Thaddeus is physically located?
The Thaddeus is situated at the following address: 4812 N. Milwaukee, Chicago, IL 60646.
What is the Thaddeus's area of specialization and corresponding taxonomy classification?
The Thaddeus's specialty field is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their specialties.
When did the Thaddeus receive its 1336331909?
The Thaddeus was issued its 1336331909 on 2007-08-16, which is the date when the organization was assigned this unique identifier.
When was the Thaddeus's information last updated?
The Thaddeus's information was last updated on 2007-10-04.
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