DR. Tara Nicole Vandewyngaerde, O.D

NPI #1528264603 in Mendota, Illinois

Provider Information

NPI Number
1528264603
Entity Type
Individual
Name
DR. Tara Nicole Vandewyngaerde, O.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D
Enumeration Date
Jun 25, 2007
Last Updated
Jan 15, 2008

Practice Location

Address
700 14TH AVE
ZIP Code
61342-1412
Phone
(815) 539-6291

Specialties & Taxonomy Codes

Specialty
Optometrist

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Organizations

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