DANIEL CAO TRUONG OD, PC
Optometry at Allen Rd, Peoria, IL

License number
Illinois 046009742
Category
Optometry
Type
Optometrist
Owner
Name: DANIEL CAO TRUONG OD
Title: OPTOMETRIST
Phone: (618) 972-0753
Address
Address
8915 N Allen Rd, Peoria, IL 61615
National Provider ID: 1285960625
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DANIEL CAO TRUONG, OD, PC

Peoria, IL

Industry:
Nonclassifiable Establishments, Optometrist's Office
Registration:
Jun 5, 2009
Addresses:
Peoria, IL 61615 (Physical)
8915 N Allen Rd, Peoria, IL 61615
State ID:
66630048
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Principal:
Daniel C. Truong (Principal)
Agent:
Daniel Cao Truong,2807 W Stonehenge Ct, Peoria, IL 61615 (Physical)

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