MEDICARE: DARIN STRAKO OD

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	18004310A	IN
2	152W00000X	Optometrist	346001515	IL

General Provider Information

NPI Number	:	1124124409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIN STRAKO OD

Provider Business Mailing Address
First Line	:	10436 SOUTHWEST HWY STE 101
Second Line	:
City	:	CHICAGO RIDGE
State	:	IL
Zip	:	60415-2282
Country	:	US
Telephone Number	:	708-586-4922
Fax Number	:	708-423-4216

Provider Business Practice Location Address
First Line	:	10436 SOUTHWEST HWY STE 101
Second Line	:
City	:	CHICAGO RIDGE
State	:	IL
Zip	:	60415-2282
Country	:	US
Telephone Number	:	85-864-9227
Fax Number	:	708-423-4216

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	10/07/2024

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Directions to “ DARIN STRAKO OD” Practice Location

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