Organization
DILLMAN EYE CARE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M DILLMAN MD (OWNER PRESIDENT)
(217) 443-8112
Entity
Organization
Contact information
Practice address
600 NORTH LOGAN AVENUE, DANVILLE, IL 61832-4375
(217) 443-8112
(217) 443-6779
Mailing address
600 NORTH LOGAN AVENUE, DANVILLE, IL 61832-4375
(217) 443-8112
(217) 443-6779
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
3010 9434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071762
HEALTH ALLIANCE
—
Enumeration date
06/20/2006
Last updated
01/07/2013
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