MEDICARE: DR. PALERMO AND ASSOCIATES, LTD

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	0600033345	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1684526	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1942327218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. PALERMO AND ASSOCIATES, LTD

Provider Business Mailing Address
First Line	:	1327 E THOMAS ST STE A
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4310
Country	:	US
Telephone Number	:	847-253-8500
Fax Number	:	847-253-8538

Provider Business Practice Location Address
First Line	:	1327 E THOMAS STREET
Second Line	:	SUITE A
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004
Country	:	US
Telephone Number	:	847-253-8500
Fax Number	:	847-253-8538

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	MARIO LAWRENCE PALERMO
Credential	:
Telephone Number	:	847-253-8500

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	10/22/2025

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