Individual
DR. ALICE E UNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
534 EDWARDSVILLE RD, TROY, IL 62294-1338
(618) 667-2020
(618) 667-0205
Mailing address
534 EDWARDSVILLE RD, TROY, IL 62294-1338
(618) 667-2020
(618) 667-0205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.008423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008423
—
IL
01
—
CJ3828
MEDICARE RR
IL
Enumeration date
10/18/2006
Last updated
11/17/2009
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