Donald V Maduzia O.D. P.C.

Organization Active NPI Optometrist · Clarendon Hills, IL

NPI 1700052834 · NPPES record last updated Oct 27, 2008

Key facts

NPI
1700052834
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
046.007789 (IL)
Legal business name
DONALD V MADUZIA O.D. P.C.
Practice address
203 Railroad Avenue
Clarendon Hills, IL 60514
Phone
(630) 323-3202
Fax
(630) 321-0512
NPI assigned
May 8, 2008
Organization subpart
No

Authorized official

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 046.007789 IL Yes

Addresses

Primary practice location

203 Railroad Avenue
Clarendon Hills, IL 60514

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
4123680001OtherDURABLE GOODS
2284078OtherBCBS
2284078OtherILBC/BS

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.