Albert Licup, O.D

NPI 1720011125 · on the registry since 2006

Practice

Address: 603 Madison St
Oak Park, IL 60302
Phone: (708) 383-2150
Fax: (708) 383-2253
Organisation at this address: A&A Vision Inc
Compass Eye Care, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Optometrist
152W00000X
Also registered as: Optometrist
Licence states on file: IL, WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-05-28
Status: Not present in the most recent federal file

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