Individual
DR. ROMAN V. KLODNYCKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1201 S DIRKSEN PKWY, SPRINGFIELD, IL 62703-2122
(217) 789-0194
Mailing address
124 VONACHEN CT, EAST PEORIA, IL 61611-1561
(309) 699-2330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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