Organization
GAILEY EYE CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COX (ADMINISTRATIVE ASSISTANT)
(309) 829-5311
Entity
Organization
Contact information
Practice address
1008 N MAIN ST, BLOOMINGTON, IL 61701-1784
(309) 829-5311
Mailing address
PO BOX 757, BLOOMINGTON, IL 61702-0757
(309) 829-5311
(309) 827-8027
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
IL
Other
Enumeration date
05/28/2006
Last updated
04/14/2008
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