Individual
MR. CHRIS DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 STATE AND 8TH PLZ, QUINCY, IL 62301-4960
(217) 224-6168
Mailing address
1 STATE AND 8TH PLZ, QUINCY, IL 62301-4960
(217) 224-6168
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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