Organization
BRENT DUNLAP OD PC
Active
Other names
DRS LONG & DUNLAP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT PATRICK DUNLAP O D (OWNER)
(815) 932-1116
Entity
Organization
Contact information
Practice address
42 BRIARCLIFF PROFESSIONAL CENTER, BOURBONNAIS, IL 60914
(815) 932-1116
(815) 932-9919
Mailing address
42 BRIARCLIFF PROFESSIONAL CENTER, BOURBONNAIS, IL 60914
(815) 932-1116
(815) 932-9919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
469363
IL
Other
Enumeration date
03/16/2007
Last updated
03/26/2008
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