Organization
JOHN T EMMERT OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T EMMERT O.D. (PRESIDENT)
(815) 433-4100
Entity
Organization
Contact information
Practice address
1029 LASALLE ST., OTTAWA, IL 61350-2018
(815) 433-4100
Mailing address
1029 LASALLE ST., OTTAWA, IL 61350-2018
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
12/18/2007
Last updated
04/04/2008
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