Organization
MILAN MEDICAL JUDGE EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. QUINN LINDSAY JUDGE OD (OWNER/ OPTOMETRIST)
(309) 787-8100
Entity
Organization
Contact information
Practice address
1929 10TH AVE E, MILAN, IL 61264-2953
(309) 787-8100
(309) 787-2643
Mailing address
1929 10TH AVE E, MILAN, IL 61264-2953
(309) 787-8100
(309) 787-2643
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010259
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205065620
NPI
IL
Enumeration date
06/14/2012
Last updated
06/14/2012
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