Individual
CARRIE SYPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
820 E TERRA COTTA AVE, SUITE 256, CRYSTAL LAKE, IL 60014-3649
(815) 455-2800
(815) 455-2801
Mailing address
820 E TERRA COTTA AVE, SUITE 256, CRYSTAL LAKE, IL 60014-3649
(815) 455-2800
(815) 455-2801
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009482
IL
Other
Enumeration date
05/12/2006
Last updated
02/27/2019
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