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Organization

LANNY S ODIN MD SC

Active
Other names
CENTRAL ILLINOIS RETINA INSTITUTE
Organization subpart
No

Provider details

NPI number
Authorized official
LANNY SCOTT ODIN M. D. (PRESIDENT)
(217) 777-2020
Entity
Organization

Contact information

Practice address
500 N CHENEY ST, TAYLORVILLE, IL 62568-1139
(217) 777-2020
(217) 777-2023
Mailing address
PO BOX 110, TAYLORVILLE, IL 62568-0110
(217) 777-2020
(217) 777-2023

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
IL

Other

Enumeration date
03/25/2015
Last updated
04/20/2015
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