Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 46-7724 | IL |
NPI | 1114072873 |
---|---|
Provider Name | Dr. Sylvia Switala-Bartlett |
First Address | Glen Ellyn, IL 60137-5104 |
Second Address | Glen Ellyn, IL 60137-5104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 02/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U44196 | (02) | IL |