Organization
ILLINOIS VALLEY EYE INST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBBY K KRISTAL MD (OWNER)
(815) 434-4200
Entity
Organization
Contact information
Practice address
818 LASALLE ST, OTTAWA, IL 61350
(815) 434-4200
(815) 434-2033
Mailing address
818 LASALLE ST, OTTAWA, IL 61350
(815) 434-4200
(815) 434-2033
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Enumeration date
12/01/2005
Last updated
08/22/2020
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