Individual
UTANG EKPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3679 N VERMILION ST, SUITE A, DANVILLE, IL 61832-1167
(217) 213-6264
(217) 213-6312
Mailing address
3679 N VERMILION ST, SUITE A, DANVILLE, IL 61832-1167
(217) 213-6264
(217) 213-6312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011055
IL
Other
Enumeration date
06/20/2015
Last updated
08/10/2016
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