Provider Demographics
NPI:1346239142
Name:STERCZEK, GARY P (OD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:P
Last Name:STERCZEK
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 1:520 HAWTHORN LANE
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN
Mailing Address - State:IL
Mailing Address - Zip Code:60169
Mailing Address - Country:US
Mailing Address - Phone:847-849-0260
Mailing Address - Fax:262-923-7670
Practice Address - Street 1:1839 W. IRVING PARK RD.
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193
Practice Address - Country:US
Practice Address - Phone:847-691-9096
Practice Address - Fax:262-923-7670
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL346-001503152W00000X
IL046-008006152W00000X
IL046008006152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist