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Individual

DR. ROGER H HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4301 N MULFORD RD, LOVES PARK, IL 61111
(815) 282-5500
(815) 633-2305
Mailing address
4301 N MULFORD RD, LOVES PARK, IL 61111
(815) 282-5500
(815) 633-2305

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46006666
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040007719
BCBS
Enumeration date
10/23/2006
Last updated
07/08/2007
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