Dr Stanley Dushman OD LTD
Organization Active NPI Durable Medical Equipment & Medical Supplies · North Brook, IL
NPI 1679769574 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1679769574
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 046005878 (IL)
- Legal business name
- DR STANLEY DUSHMAN OD LTD
- Practice address
- 1671 Misson Hills Road
#302
North Brook, IL 60062-5733 - Phone
- (847) 800-6691
- Fax
- (847) 272-1735
- NPI assigned
- Sep 25, 2007
- Reactivated
- Nov 10, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Stanley D Dushman, OD
- Title
- Pres
- Phone
- (847) 800-6691
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 046005878 | IL | Yes |
Addresses
Primary practice location
1671 Misson Hills Road
#302
North Brook, IL 60062-5733
Mailing address
1671 Misson Hills Road
#302
North Brook, IL 60062-5733
Phone (847) 800-6691
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046005878 | Medicaid | IL | |
| 0184550001 | Other | IL | DEMERC |
Other providers in North Brook, IL
All providers in North Brook, IL · Durable Medical Equipment & Medical Supplies in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.