Provider Demographics
NPI:1952589087
Name:DR. JOEL B. KATCHER
Entity Type:Organization
Organization Name:DR. JOEL B. KATCHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:KATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-352-5556
Mailing Address - Street 1:2309 W SCHAUMBURG RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3893
Mailing Address - Country:US
Mailing Address - Phone:847-352-5556
Mailing Address - Fax:847-352-5638
Practice Address - Street 1:2309 W SCHAUMBURG RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3893
Practice Address - Country:US
Practice Address - Phone:847-352-5556
Practice Address - Fax:847-352-5638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36739Medicare UPIN
IL0626510001Medicare NSC
IL511030Medicare PIN