Individual
BOBAK RAFATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3131 BROADWAY, QUINCY, IL 62301
(217) 223-7900
(217) 223-7999
Mailing address
101 N VETERANS PKWY, #301, BLOOMINGTON, IL 61704-3596
(309) 663-2700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010119
IL
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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