Jillian Marie Phelps, O.D. Valid NPI
Individual provider · Optometrist · Rockford, IL
- NPI
- 1457587388
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 46010007 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-06-05
- Last updated
- 2024-04-09
Practice location
2610 E State St
Rockford, IL 61108-1735
(815) 397-2020