MEDICARE: NATALIE WOZNY GLEBIV O.D.

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	046.011000	IL

General Provider Information

NPI Number	:	1013365188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE WOZNY GLEBIV O.D.

Provider Business Mailing Address
First Line	:	6013 N CICERO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4301
Country	:	US
Telephone Number	:	773-389-5409
Fax Number	:	773-389-5405

Provider Business Practice Location Address
First Line	:	6013 N CICERO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4301
Country	:	US
Telephone Number	:	773-389-5409
Fax Number	:

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

Provider Enumeration Date	:	05/31/2016
Last Update Date	:	04/09/2025

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