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Individual

DR. JOHN EMMERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1029 LA SALLE ST, OTTAWA, IL 61350-2018
(815) 433-4100
Mailing address
2918 E 1979TH RD, MARSEILLES, IL 61341-9308
(815) 434-2883

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IL

Other

Enumeration date
08/01/2005
Last updated
07/23/2007
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