Individual
JENNIFER DUNGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2028 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4804
(815) 708-8382
(815) 708-8370
Mailing address
2028 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4804
(815) 708-8382
(815) 708-8370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010092
IL
Other
Enumeration date
07/17/2008
Last updated
09/28/2022
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