Individual
MRS. SUE IRENE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED OPTICIAN
Contact information
Practice address
2351 W MONROE ST, SPRINGFIELD, IL 62704-1452
(217) 787-8700
(217) 787-8707
Mailing address
2351 W MONROE ST, SPRINGFIELD, IL 62704-1452
(217) 787-8700
(217) 787-8707
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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