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Organization

AEG INDIANA PROFESSIONAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA ALLISON (SENIOR DIRECTOR RCM/MVC)
(618) 462-9818
Entity
Organization

Contact information

Practice address
2250 N POINTE DR, WARSAW, IN 46582-9042
(574) 267-3515
(314) 741-4947
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6241
(618) 462-9818
(314) 741-4947

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
07/13/2022
Last updated
08/23/2023
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