Susan M Penner

NPI #1508088683 in Elgin, Illinois

Provider Information

NPI Number: 1508088683
Entity Type: Organization
Organization Name: Susan M Penner
Primary Specialty: Optometrist
Enumeration Date: May 2, 2007
Last Updated: May 20, 2008

Practice Location

Address: 363 S RANDALL RD
City: Elgin
State: Illinois
ZIP Code: 60123
Phone: (847) 888-1555

Authorized Official

Name: DR. SUSAN M PENNER, O.D.
Title: OWNER
Phone: (815) 734-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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