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Contact Information

PAULINE P BUBANKO, OD
1230 N CEDAR RD UNIT A
NEW LENOX, IL60451-1272
 Phone: 815-485-6533
 Fax: 815-485-6534
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PAULINE P BUBANKO · (Female)

NPI Number 1750466504
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/26/2006
Last updated 11/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 046009290
  • IL Other 046009290 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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