Individual
AYHUBRHAN YIFRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1233 W MORTON AVE STE C, JACKSONVILLE, IL 62650-2774
(217) 245-8800
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2023029302
MO
Other
Enumeration date
05/15/2023
Last updated
08/28/2023
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