Individual
MICHAEL GERALD HOERRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
704 CROSSTOWN AVE, SILVIS, IL 61282-1651
(309) 796-1444
(309) 796-1496
Mailing address
704 CROSSTOWN AVE, SILVIS, IL 61282-1651
(309) 796-1444
(309) 796-1496
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008302
IL
152W00000X
Optometrist
152-01893
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08132052
BCBS
IL
Enumeration date
09/16/2005
Last updated
12/10/2009
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