Dr. Paul Arquilla
Optometrist
825 Maple Ave
Homewood
, Illinois 60430-2031
Dr. Paul Arquilla
Optometrist
825 Maple Ave
Homewood
, Illinois 60430-2031
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Paul Arquilla
- 12551 Haas Dr
- Palos Park, IL
- Zip : 60464-2565
- Phone :
Second Address
- Dr. Paul Arquilla
- 825 Maple Ave
- Homewood, IL
- Zip : 60430-2031
- Phone : (708) 745-0660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IL |
National Provider Identifier
| NPI | 1013073436 |
|---|---|
| Provider Name | Dr. Paul Arquilla |
| First Address | Palos Park, IL 60464-2565 |
| Second Address | Homewood, IL 60430-2031 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2006 |
| Last Update Date | 12/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1636916 | BLUE CROSS BLUE SHIELD IL (01) | IL |
| 214860 | (02) | IL |
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.