Individual
KRISTIE N CHEVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3325 MAINE ST, QUINCY, IL 62301-4457
(217) 231-3937
(217) 231-3940
Mailing address
3325 MAINE ST, QUINCY, IL 62301-4457
(217) 231-3937
(217) 231-3940
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009735
IL
152W00000X
Optometrist
T03471
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009735
—
IL
05
—
316351105
—
MO
Enumeration date
05/08/2006
Last updated
12/05/2023
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