Individual
MRS. CATHERINE J WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
5970 E STATE ST, ROCKFORD, IL 61108-2430
(815) 395-1820
(815) 395-9135
Mailing address
5970 E STATE ST, ROCKFORD, IL 61108-2430
(815) 395-1820
(815) 395-9135
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
11/27/2007
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