Organization
GAILEY EYE CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COX (ADMINISTRATIVE ASSISTANT)
(309) 829-5311
Entity
Organization
Contact information
Practice address
4927 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 692-8460
Mailing address
4927 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 692-8460
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
042000963
IL
Other
Enumeration date
06/21/2007
Last updated
05/28/2008
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