George A Roebuck

NPI 1053593186 - Optometrist - 152W00000X

NPI Details
NPI 1053593186
Enumeration Date 11/30/2007
Last Updated 08/15/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GEORGE A GEORGE
Position OWNER
Phone (815) 942-1951
Fax (815) 942-1958
Practice Location
113 E JEFFERSON ST
MORRIS IL, 60450-2101, US
Phone (815) 942-1951
Fax (815) 942-1958
Business Location
113 E JEFFERSON ST
MORRIS IL, 60450-2101, US
Phone (815) 942-1951
Fax (815) 942-1958
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046007227
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According to our database, George A Roebuck NPI is 1053593186, taxonomy code is 152W00000X and license number is 046007227, license state is located at Illinois. George A Roebuck physically located at 113 E Jefferson St, Morris IL, 60450-2101. NPI Number 1033115704 has the healthcare provider type.

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1053593186 NPI number is provided on an as is basis without warranty of any kind. 1053593186 is maintained by the National Plan & Provider Enumeration System. The contents of George A Roebuck are for informational purposes only.