Organization
DONAUSKY FAMILY VISION GROUP, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DONAUSKY (DOCTOR/PRESIDENT)
(815) 464-7501
Entity
Organization
Contact information
Practice address
222 COLORADO AVE, FRANKFORT, IL 60423-1334
(815) 464-7501
Mailing address
222 COLORADO AVE, FRANKFORT, IL 60423-1334
(815) 464-7501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009000
IL
Other
Enumeration date
06/26/2012
Last updated
07/10/2012
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