Individual
WILLIAM A BORDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
112 S CENTER ST, GENESEO, IL 61254-1338
(309) 944-5303
(309) 944-3465
Mailing address
112 S CENTER ST, GENESEO, IL 61254-1338
(309) 944-5303
(309) 944-3465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007958
IL
Other
Enumeration date
06/12/2006
Last updated
01/04/2013
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