Blanco Kays Corgiat Eyecare, LLC

NPI #1568647634 in Morris, Illinois

Provider Information

NPI Number: 1568647634
Entity Type: Organization
Organization Name: Blanco Kays Corgiat Eyecare, LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 8, 2008
Last Updated: Apr 13, 2021

Practice Location

Address: 1802 DIVISION ST
Address 2: SUITE 205
City: Morris
State: Illinois
ZIP Code: 60450-1182
Phone: (815) 942-3042

Authorized Official

Name: ANGELA M PARTRIDGE
Title: ADMINISTRATOR
Phone: (815) 663-8281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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