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Organization

BLANCO KAYS CORGIAT EYECARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGELA PARTRIDGE (PRACTICE ADMINISTRATOR)
(815) 663-8281
Entity
Organization

Contact information

Practice address
200 W DAKOTA ST, SPRING VALLEY, IL 61362-1906
(815) 663-8281
(815) 663-8190
Mailing address
200 W DAKOTA ST, SPRING VALLEY, IL 61362-1906
(815) 663-8281

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006809
IL

Other

Enumeration date
11/21/2011
Last updated
03/23/2021
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