Doris Ann Osborne Els Od

NPI #1811159049 in Salem, Illinois

Provider Information

NPI Number: 1811159049
Entity Type: Organization
Organization Name: Doris Ann Osborne Els Od
Primary Specialty: Optometrist
Enumeration Date: Jun 29, 2008
Last Updated: Jun 29, 2008

Practice Location

Address: 121 N BROADWAY AVE
City: Salem
State: Illinois
ZIP Code: 62881-1509
Phone: (618) 548-4866

Authorized Official

Name: DR. DORIS ANN OSBORNE, OD
Title: OPTOMETRIST
Phone: (618) 548-4866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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