Susan M Penner, OD

NPI #1891842464 in Byron, Illinois

Provider Information

NPI Number
1891842464
Entity Type
Individual
Name
Susan M Penner, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jan 4, 2007
Last Updated
Jun 18, 2018

Practice Location

Address
134 E BLACKHAWK DR
City
Byron
ZIP Code
61010
Phone
(815) 234-2020

Specialties & Taxonomy Codes

Specialty
Optometrist

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