Dr. Daniel J. Medema
Optometrist
279 N Northwest Hwy
Palatine
, Illinois 60067-5326
Dr. Daniel J. Medema
Optometrist
279 N Northwest Hwy
Palatine
, Illinois 60067-5326
(847) 358-4972
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Daniel J. Medema
- 814 Springfield Dr
- Roselle, IL
- Zip : 60172-3435
- Fax : (847) 358-4972
- Phone : (630) 881-3339
Second Address
- Dr. Daniel J. Medema
- 279 N Northwest Hwy
- Palatine, IL
- Zip : 60067-5326
- Fax : (847) 358-4972
- Phone : (847) 358-4970
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0468031 | IL |
National Provider Identifier
| NPI | 1003849456 |
|---|---|
| Provider Name | Dr. Daniel J. Medema |
| First Address | Roselle, IL 60172-3435 |
| Second Address | Palatine, IL 60067-5326 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2006 |
| Last Update Date | 22/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.