JEFFREY S PORTER OD PC

CRYSTAL LAKE, IL
NPI1356525489
Entity TypeOrganization
Authorized ContactJEFFREY SCOTT PORTER
President
847-323-8501
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  04608991)
Enumeration Date2007-12-26
Last Update Date2020-08-20
Business Address
JEFFREY S PORTER OD PC
1205 S IL ROUTE 31
CRYSTAL LAKE, IL 60014-8213
Phone number: 915-477-4053
Mailing Address
JEFFREY S PORTER OD PC
3912 VALLEY VIEW RD
CRYSTAL LAKE, IL 60012-2104
Phone number: 815-479-9246
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