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2151 S Neil St, Champaign, IL 61820-7593 | |
(217) 352-2020 | |
(217) 398-4040 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 2151 S Neil St, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1356663967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Samir I. Sayegh |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1104918176 PECOS PAC ID: 5991747297 Enrollment ID: I20050526000496 |
Provider Name | Ronald D Miller |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1841280831 PECOS PAC ID: 5799813994 Enrollment ID: I20100510000160 |
Mailing Address | Practice Location Address |
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2151 S Neil St, Champaign, IL 61820-7593 Ph: (217) 352-2020 | 2151 S Neil St, Champaign, IL 61820-7593 Ph: (217) 352-2020 |