Dr. Quentin Gin Park
Optometrist
9 S Lincolnway
North Aurora
, Illinois 60542-1608
Dr. Quentin Gin Park
Optometrist
9 S Lincolnway
North Aurora
, Illinois 60542-1608
(630) 844-2599
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Quentin Gin Park
- 9 S Lincolnway
- North Aurora, IL
- Zip : 60542-1608
- Fax : (630) 844-2599
- Phone : (630) 844-2500
Second Address
- Dr. Quentin Gin Park
- 9 S Lincolnway
- North Aurora, IL
- Zip : 60542-1608
- Fax : (630) 844-2599
- Phone : (630) 844-2500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046009672 | IL |
National Provider Identifier
| NPI | 1003830340 |
|---|---|
| Provider Name | Dr. Quentin Gin Park |
| First Address | North Aurora, IL 60542-1608 |
| Second Address | North Aurora, IL 60542-1608 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 25/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 363187524 | AETNA (01) | IL |
| 363187524 | CIGNA (01) | IL |
| 363187524 | PHCS PIN (01) | IL |
| 4584027 | BCBS PIN (01) | IL |
| K11567 | MEDICARE PROVIDER NUMBER (01) | IL |
| T37425 | (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.