Provider Demographics
NPI:1053477083
Name:MARGOLIS, NEIL WOOLF (OD)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:WOOLF
Last Name:MARGOLIS
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:3250 N ARLINGTON HEIGHTS RD STE 109
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1574
Mailing Address - Country:US
Mailing Address - Phone:847-255-1040
Mailing Address - Fax:847-506-0843
Practice Address - Street 1:1120 N ARLINGTON HTS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60004
Practice Address - Country:US
Practice Address - Phone:847-255-1040
Practice Address - Fax:847-506-0843
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL46007935152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1684003OtherBLUE CROSS BLUE SHIELD
T36680Medicare UPIN