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Contact Information

BRENT DUNLAP OD PC
42 BRIARCLIFF PROFESSIONAL CENTER
BOURBONNAIS, IL60914
 Phone: 815-932-1116
 Fax: 815-932-9919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRENT DUNLAP OD PC

NPI Number 1073647293
LBN Legal business name BRENT DUNLAP OD PC
Authorized official BRENT DUNLAP - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2007
Last updated 03/26/2008 - About 18 years ago
Identifiers
IL License # 469363
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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