Individual
DR. KEVIN LEE GLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2000 N NEIL ST, CHAMPAIGN, IL 61820-7808
(217) 356-4619
(217) 356-3052
Mailing address
2000 N NEIL ST, CHAMPAIGN, IL 61820-7808
(217) 356-4619
(217) 356-3052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
468240
IL
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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