DR. Chase Aaron Rudolph, O.D.

NPI #1457663809 in Herrin, Illinois

Provider Information

NPI Number: 1457663809
Entity Type: Individual
Name: DR. Chase Aaron Rudolph, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 13, 2010
Last Updated: Dec 16, 2015

Practice Location

Address: 3121 S PARK AVE
City: Herrin
State: Illinois
ZIP Code: 62948-3785
Phone: (618) 942-5465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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