Organization
SKIBO FAMILY EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY ELLEN SKIBO O.D. (OWNER/OPTOMETRIST)
(618) 242-6338
Entity
Organization
Contact information
Practice address
4200 ILBERRY RD, MOUNT VERNON, IL 62864-6748
(618) 242-6338
(618) 242-0465
Mailing address
4200 ILBERRY RD, MOUNT VERNON, IL 62864-6748
(618) 242-6338
(618) 242-0465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009973
IL
Other
Enumeration date
05/23/2012
Last updated
03/17/2015
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