Healthcare Provider Details

I. General information

NPI: 1477618197
Provider Name (Legal Business Name): GAIL JOYCE MAY O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 09/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 LEGACY CIR UNIT 102
NAPERVILLE IL
60563-1269
US

IV. Provider business mailing address

16642 WINDSOR CT
LEMONT IL
60439-4636
US

V. Phone/Fax

Practice location:
  • Phone: 630-245-2020
  • Fax: 630-245-2021
Mailing address:
  • Phone: 630-243-0504
  • Fax: 630-355-9796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number046008621
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: