Organization
JULIE K. KUEKER, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE K. KUEKER O.D. (OWNER/OPTOMETRIST)
(618) 654-1704
Entity
Organization
Contact information
Practice address
1870 W MAIN ST, SALEM, IL 62881-5838
(618) 548-6590
Mailing address
11901 WESTWOOD LN, HIGHLAND, IL 62249-3863
(618) 654-1704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009624
IL
Other
Enumeration date
10/07/2006
Last updated
05/23/2008
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