Brent Dunlap Od PC

NPI #1073647293 in Bourbonnais, Illinois

Provider Information

NPI Number: 1073647293
Entity Type: Organization
Organization Name: Brent Dunlap Od PC
Primary Specialty: Optometrist
Enumeration Date: Mar 16, 2007
Last Updated: Mar 26, 2008

Practice Location

Address: 42 BRIARCLIFF PROFESSIONAL CENTER
City: Bourbonnais
State: Illinois
ZIP Code: 60914
Phone: (815) 932-1116

Authorized Official

Name: DR. BRENT PATRICK DUNLAP, O D
Title: OWNER
Phone: (815) 932-1116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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