SearchIllinois152W00000X

Winona Van Houten, O.D

NPI 1326246489 · on the registry since 2007

Practice

Address
1705 W Morton Ave
Jacksonville, IL 62650
Phone
(217) 245-6070
Organisation at this address
Shoptikal Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-28

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