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NPI Code Detail

MEDICARE: DR. JILL ANNE SETTERLUN O.D.

MEDICARE:  DR. JILL ANNE SETTERLUN  O.D.
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
1152W00000XOptometrist046-008217IL

General Provider Information

NPI Number : 1801878988
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JILL ANNE SETTERLUN O.D.
Provider Business Mailing Address
First Line : 8826 OGDEN AVE
Second Line :
City : BROOKFIELD
State : IL
Zip : 60513-2100
Country : US
Telephone Number : 708-485-0411
Fax Number : 708-485-5009
Provider Business Practice Location Address
First Line : 8826 OGDEN AVE
Second Line :
City : BROOKFIELD
State : IL
Zip : 60513-2100
Country : US
Telephone Number : 708-485-0411
Fax Number : 708-485-5009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 03/13/2012

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Directions to “ DR. JILL ANNE SETTERLUN O.D.” Practice Location

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