Individual
SARA MARIE SIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
195 S 36TH ST STE 109, QUINCY, IL 62301-5801
(217) 224-7732
(217) 224-4468
Mailing address
195 S 36TH ST STE 109, QUINCY, IL 62301-5801
(217) 224-7732
(217) 224-4468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011220
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046011220
—
IL
Enumeration date
07/30/2018
Last updated
06/06/2024
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