ILLINI OPTOMETRIC PC

GODFREY, IL
NPI1780850032
Entity TypeOrganization
Authorized ContactMARK E FERGUSON
President
618-446-8787
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  060005314)
Enumeration Date2008-05-07
Last Update Date2008-05-07
Business Address
ILLINI OPTOMETRIC PC
3300 GODFREY RD
GODFREY, IL 62035
Phone number: 618-466-8787
Mailing Address
ILLINI OPTOMETRIC PC
PO BOX 5040
GODFREY, IL 62035
Phone number: 618-466-8787
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