Individual
BETH KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
215 RICHARD A MAUTINO DR, SPRING VALLEY, IL 61362-1144
(815) 664-5331
(815) 663-5057
Mailing address
215 RICHARD A MAUTINO DR, SPRING VALLEY, IL 61362-1144
(815) 664-5331
(815) 663-5057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008410
IL
Other
Enumeration date
01/18/2007
Last updated
01/20/2021
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