Provider Demographics
NPI:1013365188
Name:WOZNY, NATALIE (OD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:WOZNY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N FRANKLIN ST STE 106
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-7209
Mailing Address - Country:US
Mailing Address - Phone:312-255-1212
Mailing Address - Fax:312-255-1367
Practice Address - Street 1:750 N FRANKLIN ST STE 106
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-7209
Practice Address - Country:US
Practice Address - Phone:312-255-1212
Practice Address - Fax:312-255-1367
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.011000152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist