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Individual

PATRICIA HELEN SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O. D.

Contact information

Practice address
20 E NORTH ST, COAL CITY, IL 60416-1087
(815) 634-4825
(815) 634-4938
Mailing address
1950 OLD GALLOWS RD # SUIE520, VIENNA, VA 22182-3990
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007569
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046007569
IL
01
09932280
BCBS OF IL
IL
Enumeration date
06/10/2005
Last updated
04/13/2021
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