Organization
BALGEMANN OPTOMETRY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GARRETT BALGEMANN O.D. (PRESIDENT)
(217) 864-6191
Entity
Organization
Contact information
Practice address
2515 N PROSPECT AVE, SUITE 100, CHAMPAIGN, IL 61822-1226
(217) 378-2934
(217) 378-2936
Mailing address
2515 N PROSPECT AVE, SUITE 100, CHAMPAIGN, IL 61822-1226
(217) 378-2934
(217) 378-2936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009189
IL
Other
Enumeration date
02/15/2007
Last updated
05/24/2010
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