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Adam C. Black, OD

Optometrist in Naperville, IL. Individual provider (NPI-1).

NPI number1295814903
StatusActive
Last updated in NPPESOct 10, 2024

Details

NPI
1295814903
Entity type
Individual (NPI-1)
Name
Adam C. Black
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 3, 2006
Certification date
Oct 10, 2024
Last updated
Oct 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2536COYes

Practice location

232 S Washington St
Ste 3
Naperville, IL 60540-5370

Phone 630-369-3937 · Fax 630-369-3933

Mailing address

232 S Washington St
Ste 3
Naperville, IL 60540-5370

Phone 630-369-3937 · Fax 630-369-3933

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