Provider Demographics
NPI:1912070939
Name:SESSO, PATRICK B (OD)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:B
Last Name:SESSO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 WISE RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193
Mailing Address - Country:US
Mailing Address - Phone:847-891-9096
Mailing Address - Fax:847-891-9138
Practice Address - Street 1:1839 W IRVING PARK ROAD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193
Practice Address - Country:US
Practice Address - Phone:847-891-9096
Practice Address - Fax:847-891-9096
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046-007328152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist