Provider Demographics
NPI:1952532483
Name:SREDNICK, DAVID ANTHONY (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANTHONY
Last Name:SREDNICK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:72 E RAND RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3138
Mailing Address - Country:US
Mailing Address - Phone:847-222-0185
Mailing Address - Fax:847-222-0524
Practice Address - Street 1:72 E RAND RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3138
Practice Address - Country:US
Practice Address - Phone:847-222-0185
Practice Address - Fax:847-222-0524
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.010287152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist