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Contact Information

BRIAN DEMBO,O.D.,P.C.
1545 WAUKEGAN RD
GLENVIEW, IL60025-2166
 Phone: 847-998-6700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRIAN DEMBO,O.D.,P.C.

NPI Number 1922262328
LBN Legal business name BRIAN DEMBO,O.D.,P.C.
Authorized official BRIAN DEMBO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2008
Last updated 08/29/2008 - About 18 years ago
Identifiers
IL License # 046008000
IL Medicaid 046008000
IL Other 01684637 BLUE CROSS BLUE SHIELD
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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