Judy Chanthalangsy, O.D.

NPI #1053666818 in Rockford, Illinois

Provider Information

NPI Number: 1053666818
Entity Type: Individual
Name: Judy Chanthalangsy, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 18, 2012
Last Updated: Sep 24, 2021

Practice Location

Address: 6560 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-2545
Phone: (815) 997-0164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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