Individual
MAXWELL PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1104 N VERMILION ST, DANVILLE, IL 61832-3094
(217) 398-2020
Mailing address
704 S SUNNY LN, URBANA, IL 61802-4677
(217) 474-1670
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011882
IL
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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