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Individual

DR. CHAD R SLAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
575 S PERRYVILLE RD, ROCKFORD, IL 61108-2530
(815) 315-9358
(815) 397-4684
Mailing address
224 OAK KNLS S, ROCKFORD, IL 61108-1731
(815) 505-8969

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010715
IL

Other

Enumeration date
07/22/2013
Last updated
10/05/2014
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