JAY E TALLIS

BLOOMINGTON, IL
NPI1083627830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046-007271)
Enumeration Date2006-08-14
Last Update Date2014-11-28
Business Address
Dr. JAY E TALLIS OD
915 N MAIN ST
BLOOMINGTON, IL 61701-3043
Phone number: 309-827-8434
Mailing Address
Dr. JAY E TALLIS OD
915 N MAIN ST
BLOOMINGTON, IL 61701-3043
Phone number: 309-827-8434