Organization
BLANCO KAYS CORGIAT EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M PARTRIDGE (ADMINISTRATOR)
(815) 663-8281
Entity
Organization
Contact information
Practice address
1802 DIVISION ST, SUITE 205, MORRIS, IL 60450-1182
(815) 942-3042
(815) 942-3062
Mailing address
1802 N DIVISION ST, SUITE 205, MORRIS, IL 60450-1182
(815) 942-3042
(815) 942-3062
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
466809
IL
Other
Enumeration date
01/08/2008
Last updated
04/13/2021
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