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McDonough Eye Associates PC

Ophthalmology in Macomb, IL. Organization (NPI-2).

NPI number1144224924
StatusActive
Last updated in NPPESJan 23, 2008

Details

NPI
1144224924
Entity type
Organization (NPI-2)
Legal business name
McDonough Eye Associates PC
Organization subpart
No
Enumeration date
Jun 9, 2005
Last updated
Jan 23, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology036088973ILYes

Practice location

505 E Grant St
Ste 206
Macomb, IL 61455-3373

Phone 309-836-3937 · Fax 309-833-1894

Mailing address

505 E Grant St
Ste 206
Macomb, IL 61455-3373

Phone 309-836-3937 · Fax 309-833-1894

Authorized official

Jill M Brody
President
3098363937

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