Illini Eyecare Monticello Inc in Monticello - Pediatrics
Illini Eyecare Monticello Inc - NPI 1568656023
Illini Eyecare Monticello Inc is a Pediatrics in Monticello, Illinois. Illini Eyecare Monticello Inc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Illini Eyecare Monticello Inc is 1568656023. The last update date is 2009-10-15.
Illini Eyecare Monticello Inc's current location address is 102 S Charter St, Monticello, Illinois. You can contact this provider via phone number 2177622551. The mailing address for Illini Eyecare Monticello Inc is 102 S Charter St, Monticello, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illini Eyecare Monticello Inc |
|---|---|
| Address | 102 S Charter St, Monticello, Illinois |
| Phone Number | 2177622551 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Fisher Ann Shirley |
| Telephone Number | 2177622551 |
NPI Number Detail
| NPI Number | 1568656023 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2009-10-15 |
Provider Mailing Address Detail
| Address | 102 S Charter St |
|---|---|
| City | Monticello |
| State | Illinois (IL) |
| Post Code | 618561853 |
| Phone Number | 2177622551 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 152Wp0200X |
| Licence No | 46007835 |
|
Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
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What is the unique identifier code issued to Illini Eyecare Monticello Inc by the Centers for Medicare & Medicaid Services?
The Illini Eyecare Monticello Inc has been assigned the NPI (National Provider Identifier) 1568656023. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Illini Eyecare Monticello Inc?
The Illini Eyecare Monticello Inc is situated at 102 S Charter St, in the city of Monticello, state of IL, with the zip code 618561853.
What is Illini Eyecare Monticello Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Illini Eyecare Monticello Inc's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 152Wp0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568656023 to Illini Eyecare Monticello Inc?
The Illini Eyecare Monticello Inc received its 1568656023 assignment from the Centers for Medicare & Medicaid Services on 2007-08-28.
When was the information pertaining to Illini Eyecare Monticello Inc most recently updated or revised?
The details related to Illini Eyecare Monticello Inc, including its address, specialty, and other relevant information, were last updated or revised on 2009-10-15.
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