Individual
JACQUELINE COZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 S PERRYVILLE RD, ROCKFORD, IL 61108-2530
(779) 210-8133
(815) 329-6128
Mailing address
575 S PERRYVILLE RD, ROCKFORD, IL 61108-2530
(779) 210-8133
(815) 329-6128
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011227
IL
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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