KENNETH R MINARIK

MYEYEDR OPTOMETRY OF ILLINOIS LLC

Dr KENNETH R MINARIK is a male medical professional, specializing in Optometry. He graduated in 1980 from Illinois College Of Optometry At Chicago.

Contact

MYEYEDR OPTOMETRY OF ILLINOIS LLC

8530 N 2ND ST
MACHESNEY PARK
IL
611152414

Tel: 8156547777

KENNETH R MINARIK Information

Npi 1598834293
Pac Id 7618051236
Professional Enrollment Id I20080221000019
Last Name MINARIK
First Name KENNETH
Middle Name R
Suffix
Gender M
Credential
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1980
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MYEYEDR OPTOMETRY OF ILLINOIS LLC
Group Practice Pac Id 3577869965
Number Of Group Practice Members 44
Line 1 Street Address 8530 N 2ND ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MACHESNEY PARK
State IL
Zip Code 611152414
Phone Number 8156547777
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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