Provider Demographics
NPI:1467589655
Name:STARON, CHRISTOPHER JOHN (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:STARON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:6537 MIDHURST ROAD
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516
Mailing Address - Country:US
Mailing Address - Phone:630-802-5192
Mailing Address - Fax:630-351-3127
Practice Address - Street 1:505 W ARMY TRAIL ROAD
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108
Practice Address - Country:US
Practice Address - Phone:630-351-3078
Practice Address - Fax:630-351-3137
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
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