MEDICARE: ANETA ANNA STOCH OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	046011703	IL

General Provider Information

NPI Number	:	1003528167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANETA ANNA STOCH OD

Provider Business Mailing Address
First Line	:	PO BOX 39
Second Line	:
City	:	LAKE ZURICH
State	:	IL
Zip	:	60047-0039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3457 W 111TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-3335
Country	:	US
Telephone Number	:	773-253-2175
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2022
Last Update Date	:	12/20/2022

Similar Medicare Providers

1336565985 — VYTAUTAS TAMULIS
Practice Location Address:

3457 W 111TH ST
CHICAGO, IL
60655-3335

Practice Phone: 815-483-9504
Practice Fax:

1811392517 — EASY OPTICAL EYE CARE INC.
Practice Location Address:

3457 W 111TH ST
CHICAGO, IL
60655-3335

Practice Phone: 773-253-2175
Practice Fax:

1487693511 — LATA JAIN AUD
Practice Location Address:

8 S MICHIGAN AVE STE 2212
CHICAGO, IL
60603-3335

Practice Phone: 312-346-1136
Practice Fax: 312-853-2293

1851502439 — MRS. DOREEN KELLY IZAGUIRRE MA, CCC-SLP
Practice Location Address:

3134 N CLIFTON AVE , UNIT 2 WEST
CHICAGO, IL
60657-3335

Practice Phone: 773-665-2791
Practice Fax:

1609108422 — NICOLE RUSCHMEYER M.A., CCC-SLP
Practice Location Address:

3134 N CLIFTON AVE
CHICAGO, IL
60657-3335

Practice Phone: 773-756-8023
Practice Fax:

1821487646 — TOTAL ENRICHMENT SERVICES INC.
Practice Location Address:

3335 W WASHINGTON BLVD
CHICAGO, IL
60624

Practice Phone: 773-403-1162
Practice Fax:

Directions to “ ANETA ANNA STOCH OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.