Provider Demographics
NPI:1972708626
Name:JILL A. SETTERLUN, O.D., LTD.
Entity Type:Organization
Organization Name:JILL A. SETTERLUN, O.D., LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SETTERLUN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:708-485-0411
Mailing Address - Street 1:8826 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60513-2100
Mailing Address - Country:US
Mailing Address - Phone:708-485-0411
Mailing Address - Fax:
Practice Address - Street 1:8826 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:IL
Practice Address - Zip Code:60513-2100
Practice Address - Country:US
Practice Address - Phone:708-485-0411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL925960Medicare ID - Type Unspecified
ILT98148Medicare UPIN