Search › Illinois › 152W00000X
Kevin Childers, OD
NPI 1306927181 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2202 W Randolph St
Vandalia, IL 62471 - Phone
- (618) 283-3511
- Fax
- (618) 283-1815
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois