Healthcare Provider Details

I. General information

NPI: 1508174947
Provider Name (Legal Business Name): KUHAR VISION CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2010
Last Update Date: 10/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 BROOK FOREST AVE
SHOREWOOD IL
60404-8807
US

IV. Provider business mailing address

932 BROOK FOREST AVE
SHOREWOOD IL
60404-8807
US

V. Phone/Fax

Practice location:
  • Phone: 815-577-0020
  • Fax: 815-577-3884
Mailing address:
  • Phone: 815-577-0020
  • Fax: 815-577-3884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046-009027
License Number StateIL

VIII. Authorized Official

Name: DR. LUDWIG C KUHAR
Title or Position: PRESIDENT/OPTOMETRIST
Credential: O.D.
Phone: 815-577-0020