Individual
CAITLIN GAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
102 N HEINLEIN DR, SHELBYVILLE, IL 62565-9050
(217) 774-4422
Mailing address
102 N HEINLEIN DR, SHELBYVILLE, IL 62565-9050
(217) 774-4422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011474
IL
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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