Provider Demographics
NPI:1295090447
Name:ALBERTSON, MARGARET RUTH (OD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:RUTH
Last Name:ALBERTSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1588 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3906
Mailing Address - Country:US
Mailing Address - Phone:847-392-9220
Mailing Address - Fax:847-392-9252
Practice Address - Street 1:1588 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3906
Practice Address - Country:US
Practice Address - Phone:847-392-9220
Practice Address - Fax:847-392-9252
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6105152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL7235044OtherAETNA
IL8825444OtherMULTIPLAN
IL01636706OtherBCBS OF ILLINOIS
ILF400263248Medicare PIN
IL0757500001Medicare NSC
IL210209Medicare PIN
IL01636706OtherBCBS OF ILLINOIS