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Organization
WHALEN OPTICAL LABS INC
Active
Organization
WHALEN OPTICAL LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN L REINGOLD (CLAIMS ADMINISTRATOR)
(815) 399-0599
Entity
Organization
Contact information
Practice address
5970 E STATE ST, ROCKFORD, IL 61108-2430
(815) 395-1820
(815) 395-9135
Mailing address
5970 E STATE ST, ROCKFORD, IL 61108-2430
(815) 395-1820
(815) 395-9135
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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