Dr Dawn Wickizer And Associates LLC
Optometrist in Algonquin, IL. Organization (NPI-2).
NPI number1003290560
StatusActive
Last updated in NPPESJul 15, 2015
Details
- NPI
- 1003290560
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Dawn Wickizer And Associates LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2015
- Last updated
- Jul 15, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 046009347 | IL | Yes |
Other names
- Dawn Wickizer (Doing Business As)
Practice location
436 S Randall RdAlgonquin, IL 60102-9723
Phone 847-658-4242 · Fax 847-658-5643
Mailing address
436 S Randall RdAlgonquin, IL 60102-9723
Phone 847-658-4242 · Fax 847-658-5643
Authorized official
Dawn Wickizer
Owner
8476584242
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