Provider Demographics
NPI:1295067478
Name:GALILEO OPTICAL CO.
Entity type:Organization
Organization Name:GALILEO OPTICAL CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARENELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-892-5000
Mailing Address - Street 1:5759 W. FULLERTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60639
Mailing Address - Country:US
Mailing Address - Phone:773-836-2020
Mailing Address - Fax:773-836-2024
Practice Address - Street 1:5759 W. FULLERTON
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639
Practice Address - Country:US
Practice Address - Phone:773-836-2020
Practice Address - Fax:773-836-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL118013OtherEYE MED
IL60708OtherDAVIS VISION
IL60708OtherDAVIS VISION