Provider Demographics
NPI:1295847481
Name:DOWNING, CHERYL D (OD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:D
Last Name:DOWNING
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 1:18W204 KNOLLWOOD LN
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3631
Mailing Address - Country:US
Mailing Address - Phone:630-953-9165
Mailing Address - Fax:
Practice Address - Street 1:2131 W GALENA BLVD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-3211
Practice Address - Country:US
Practice Address - Phone:630-264-1814
Practice Address - Fax:630-264-1816
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU80195Medicare UPIN