DONALD WADE HENDERSON

SPRINGFIELD, IL
NPI1578624573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046-009151)
Enumeration Date2006-12-13
Last Update Date2025-10-01
Business Address
DONALD WADE HENDERSON OD
2709 S KOKE MILL RD
SPRINGFIELD, IL 62711
Phone number: 217-698-9477
Mailing Address
DONALD WADE HENDERSON OD
2709 S KOKE MILL RD
SPRINGFIELD, IL 62711-8194
Phone number: 217-698-9477