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Individual

DR. THOMAS K UNGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
534 EDWARDSVILLE RD, TROY, IL 62294-1338
(618) 667-2020
(618) 667-0205
Mailing address
534 EDWARDSVILLE RD, TROY, IL 62294-1338
(618) 667-2020
(618) 667-0205

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.008303
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046008303
IL
01
CJ3828
MEDICARE RR
IL
Enumeration date
10/17/2006
Last updated
11/17/2009
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