JENNIFER WALLER

SPRINGFIELD, IL
NPI1861440612
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046009087)
Enumeration Date2006-05-04
Last Update Date2023-02-03
Business Address
DR. JENNIFER WALLER OD
2020 W ILES AVE
SPRINGFIELD, IL 62704-4174
Phone number: 217-698-3030
Mailing Address
DR. JENNIFER WALLER OD
600 S 8TH ST
BENLD, IL 62009-1446
Phone number: 217-835-7724
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