Individual
KAREN WELDON NEIDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8750 N 2ND ST, MACHESNEY PARK, IL 61115-2080
(815) 877-0016
Mailing address
1105 BUTLER RD, ROCKFORD, IL 61108-4702
(815) 332-5784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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