Organization
ELGIN FAMILY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M PENNER OD (MANAGER)
(815) 289-6512
Entity
Organization
Contact information
Practice address
165 S RANDALL RD, ELGIN, IL 60123-5551
(847) 888-1555
(847) 888-2508
Mailing address
1648 N SAUK TRL, OREGON, IL 61061-8978
(815) 289-6512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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