Organization
ILLINOIS EXPRESS VIS CTR DNVLL INC
Active
Other names
Illinois Express Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PARIS (PRESIDENT)
(217) 446-5554
Entity
Organization
Contact information
Practice address
2807 N VERMILION ST, STE 4, DANVILLE, IL 61832-1444
(217) 446-5554
Mailing address
2807 N VERMILION ST, STE 4, DANVILLE, IL 61832-1444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007720
IL
Other
Enumeration date
11/09/2006
Last updated
03/16/2012
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