Provider Demographics
NPI:1104839166
Name:KUHAR, LUDWIG CHAD (OD)
Entity Type:Individual
Prefix:DR
First Name:LUDWIG
Middle Name:CHAD
Last Name:KUHAR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 BROOK FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60431-8807
Mailing Address - Country:US
Mailing Address - Phone:815-577-0020
Mailing Address - Fax:815-577-3884
Practice Address - Street 1:932 BROOK FOREST AVE
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:IL
Practice Address - Zip Code:60431-8807
Practice Address - Country:US
Practice Address - Phone:815-577-0020
Practice Address - Fax:815-577-3884
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL46-009027152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU80936Medicare UPIN