Tara N Van De Wyngaerde Od PC
NPI #1215128806 in Mendota, Illinois
Provider Information
- NPI Number
- 1215128806
- Entity Type
- Organization
- Organization Name
- Tara N Van De Wyngaerde Od PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 7, 2007
- Last Updated
- Nov 21, 2025
Practice Location
Authorized Official
- Name
- TARA NICOLE VANDEWYNGAERDE, O.D.
- Title
- OWNER/OPTOMETRIST
- Phone
- (815) 539-6291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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