MR. TEODORO CARRILLO OPTICIAN NPI 1962528372

NPI Information

NPI: 1962528372
Provider Name: MR. TEODORO CARRILLO, OPTICIAN
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
4610 N LINCOLN AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 561-0870
Get Directions

MR. Teodoro Carrillo, OPTICIAN is an optician technician technologist in Chicago, IL. MR. Teodoro Carrillo, OPTICIAN NPI is 1962528372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4610 N LINCOLN AVE
CHICAGO, IL
ZIP 60625-008
Phone: (773) 561-0870
Fax: (773) 561-4185

The enumeration date for this NPI number is 3/21/2007 and was last updated on 2/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	2511-5278	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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