Organization
GEORGE A ROEBUCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A ROEBUCK O.D. (OWNER)
(815) 942-1951
Entity
Organization
Contact information
Practice address
113 E JEFFERSON ST, MORRIS, IL 60450-2101
(815) 942-1951
(815) 942-1958
Mailing address
113 E JEFFERSON ST, MORRIS, IL 60450-2101
(815) 942-1951
(815) 942-1958
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007227
IL
Other
Enumeration date
11/30/2007
Last updated
08/15/2013
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