Organization
VINCENT FACCHIANO AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JILLIAN MARIE LOEBACH O.D. (OPTOMETRIST)
(815) 332-2223
Entity
Organization
Contact information
Practice address
7200 HARRISON AVE # U265, ROCKFORD, IL 61112-1017
(815) 332-2223
(815) 332-4488
Mailing address
7200 HARRISON AVE # U265, ROCKFORD, IL 61112-1017
(815) 332-2223
(815) 332-4488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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