Kevin Michael Jara O.D.

NPI 1023041555 - Optometrist - 152W00000X

NPI Details
NPI 1023041555
Gender Male
Enumeration Date 07/08/2006
Last Updated 12/05/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
4612 W ALGONQUIN RD
LAKE IN THE HILLS IL, 60156-6723, US
Phone (847) 515-2020
Fax
Business Location
4612 W ALGONQUIN RD
LAKE IN THE HILLS IL, 60156-6723, US
Phone (847) 515-2020
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046-008830
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According to our database, Dr. Kevin Michael Jara O.D. NPI is 1023041555, taxonomy code is 152W00000X and license number is 046-008830, license state is located at Illinois. Kevin Michael Jara O.D. physically located at 4612 W Algonquin Rd, Lake In The Hills IL, 60156-6723. NPI Number Kevin Michael Jara O.D. has the Individual type.

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1023041555 NPI number is provided on an as is basis without warranty of any kind. 1023041555 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Michael Jara O.D. are for informational purposes only.