Search › Illinois › 152W00000X
Jacob Stallbaumer, OD
NPI 1528581527 · on the registry since 2017
Practice
- Address
- 1130 W Madison St
Chicago, IL 60607 - Phone
- (312) 226-7200
- Fax
- (312) 226-6490
- Organisation at this address
- Industrial Optical Service, Inc.
Myeyedr Optometry Of Illinois, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 370 Houbolt Rd Ste 102, Joliet, IL
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- IL, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-20
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