Eyesite-Illinois Valley, LLC

NPI #1477614329 in Spring Valley, Illinois

Provider Information

NPI Number: 1477614329
Entity Type: Organization
Organization Name: Eyesite-Illinois Valley, LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 13, 2006
Last Updated: Dec 15, 2020

Practice Location

Address: 215 RICHARD A MAUTINO DR
City: Spring Valley
State: Illinois
ZIP Code: 61362-1144
Phone: (815) 664-5331

Authorized Official

Name: KENT ALAN KUNKEL, OD
Title: OWNER
Phone: (815) 664-5331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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