Healthcare Provider Details

I. General information

NPI: 1407905599
Provider Name (Legal Business Name): CHRIS B VUORENMAA O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1444 SPRING HILL MALL
WEST DUNDEE IL
60118-1264
US

IV. Provider business mailing address

601 MAJIC WAY
MARENGO IL
60152-3388
US

V. Phone/Fax

Practice location:
  • Phone: 847-426-3198
  • Fax:
Mailing address:
  • Phone: 630-363-0877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: