Provider Demographics
NPI:1801878988
Name:SETTERLUN, JILL ANNE (OD)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:ANNE
Last Name:SETTERLUN
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 1:8826 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:708-485-5009
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:708-485-5009
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046-008217152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL925960Medicare ID - Type Unspecified
ILT98148Medicare UPIN