Individual
JACK G GUENTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
19607 S LAGRANGE ROAD, MOKENA, IL 60448
(708) 479-1616
(708) 479-6699
Mailing address
19607 S LAGRANGE ROAD, MOKENA, IL 60448
(708) 479-1616
(708) 479-6699
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008314
IL
Other
Enumeration date
08/30/2006
Last updated
09/25/2008
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