Individual
ANITA PALMER-HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3865 N MULFORD RD, ROCKFORD, IL 61114-5603
(815) 399-2190
(815) 399-5543
Mailing address
3865 N MULFORD RD, ROCKFORD, IL 61114-5603
(815) 399-2190
(815) 399-5543
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009409
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4519570
BCBS
IL
Enumeration date
12/08/2006
Last updated
04/01/2021
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