Search › Illinois › 152W00000X
John Ichishita, O.D
NPI 1164854386 · on the registry since 2013 · sole proprietor
Practice
- Address
- 730 N Milwaukee Ave
Libertyville, IL 60048 - Phone
- (847) 362-9900
- Fax
- (847) 362-9936
- Organisation at this address
- 730 North Optometry Pc
Brain-Eye Evolution At 730 NorthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 824 N Il Route 83, Mundelein, IL
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois