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Search › Illinois › 152W00000X

Jennifer Waller, OD

NPI 1861440612 · on the registry since 2006

Practice

Address
2020 W Iles Ave
Springfield, IL 62704
Phone
(217) 698-3030
Fax
(217) 698-3068
Organisation at this address
Prairie Eye Center Ltd
Prairie Eye Center, Ltd
Springfield Hair Restorations Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Additional practice sites

  • 600 S 8th St, Benld, IL

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
2023-02-03

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