Individual
MR. MARK M ALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
963 N. 129TH INFANTRY DR., SUITE 110, JOLIET, IL 60435
(815) 725-9377
(815) 725-9358
Mailing address
963 N. 129TH INFANTRY DR., SUITE 110, JOLIET, IL 60435-3103
(815) 725-9377
(815) 725-9358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008527
IL
Other
Enumeration date
10/02/2006
Last updated
08/16/2018
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