Individual
MS. HANNAH LAUREN BENGTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
820 E. JACKSON ST., MACOMB, IL 61455
(309) 833-4242
(309) 833-3597
Mailing address
820 E. JACKSON ST., MACOMB, IL 61455
(309) 833-4242
(309) 833-3597
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011244
IL
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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