NPI 1104806348

Mario Lawrence Palermo, OD

Practitioner Optometrist Arlington Heights, IL

Practice location

Address: 18 S Evergreen Ave, Arlington Heights, IL 60005-1428
Phone: (847) 253-8500
Fax: (847) 253-8538

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046007444 (IL)

Other Optometrist providers in Illinois →

Registry record

NPI: 1104806348
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2006
Record last updated: 29 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.