Individual
CHERYL PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 N KELLER DR STE D, EFFINGHAM, IL 62401-1882
(217) 347-3949
(217) 347-3950
Mailing address
312 N KELLER DR STE D, EFFINGHAM, IL 62401
(217) 347-3949
(217) 347-3950
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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