Organization
DAVID BALFOUR, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY ANN BALFOUR LPN (OFFICE MANAGER/STAFF NURSE)
(309) 772-3135
Entity
Organization
Contact information
Practice address
148 E HURST ST, BUSHNELL, IL 61422-1335
(309) 772-3135
(775) 514-6268
Mailing address
148 E HURST ST, PO BOX 60, BUSHNELL, IL 61422-1335
(309) 772-3135
(775) 514-6268
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007365
IL
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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