Individual
JODIE M WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
(217) 277-2253
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
(217) 277-2253
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-010432
IL
Other
Enumeration date
07/15/2009
Last updated
01/11/2016
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