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Individual

DR. BRIAN C SOMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
417 W JEFFERSON ST, MORTON, IL 61550-1817
(309) 263-8611
(309) 263-8926
Mailing address
417 W JEFFERSON ST, MORTON, IL 61550-1817
(309) 263-8611
(309) 263-8926

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007309
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410046605
PALMETTO GBA RAILROAD MEDICARE
Enumeration date
11/09/2006
Last updated
02/13/2013
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