Individual
HEIDI M HAISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1125 HAMPSHIRE ST, QUINCY, IL 62301-3026
(217) 222-3937
(217) 277-2262
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
(217) 277-2253
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011164
IL
Other
Enumeration date
04/12/2016
Last updated
05/11/2022
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