Donald V Maduzia OD PC

Organization Active NPI Optometrist · Clarendon Hills, IL

NPI 1033417845 · NPPES record last updated Mar 2, 2011

Key facts

NPI
1033417845
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
046-007789 (IL)
Legal business name
DONALD V MADUZIA OD PC
Practice address
203 Railroad Ave
Clarendon Hills, IL 60514-1301
Phone
(630) 323-3202
Fax
(630) 321-0512
NPI assigned
Mar 2, 2011
Organization subpart
No

Authorized official

Name
Dr. Donald V. Maduzia, O.D.
Title
Optometrist/President
Phone
(630) 323-3202

National Provider Directory

Locations

203 Railroad Ave
Clarendon Hls, IL 60514
Phone (630) 323-3202

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 046-007789 IL Yes
Eyewear Supplier 332H00000X 046.007789 IL

Addresses

Primary practice location

203 Railroad Ave
Clarendon Hills, IL 60514-1301

Mailing address

203 Railroad Ave
Clarendon Hills, IL 60514-1301
Phone (630) 323-3202

Other providers in Clarendon Hills, IL

All providers in Clarendon Hills, IL · Optometrist in Illinois

Sources for this page

Verify at the official NPI Registry.