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Individual

DR. GARY L. VOGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3540 N BELT W, SUITE C, BELLEVILLE, IL 62226-5975
(618) 235-4433
(618) 235-7483
Mailing address
3540 N BELT W, SUITE C, BELLEVILLE, IL 62226-5975
(618) 235-4433
(618) 235-7483

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
467032
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
108161
ALLIANCE CHOICE
01
183001
HEALTH LINK
01
2203225
UNITED HEALTH CARE
01
401171
GHP ADVANTIVE
01
5480306
AETNA
01
8232096
ILLINOIS
Enumeration date
10/18/2005
Last updated
09/14/2011
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