Individual
DR. DAVID A BALFOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
148 E HURST, BUSHNELL, IL 61422-0060
(309) 772-3135
(775) 514-6268
Mailing address
PO BOX 60, 148 E HURST, BUSHNELL, IL 61422-0060
(309) 772-3135
(775) 514-6268
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007365
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007365
—
IL
01
—
5584001
BCBS
—
Enumeration date
08/30/2006
Last updated
09/08/2008
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