NPI 1306561451
Jennifer Dungan OD PLLC
Practice location
- Address
- 2028 E Riverside Blvd STE 101f, Loves Park, IL 61111-4800
- Phone
- (815) 708-8382
Authorised official
- Name
- Jennifer Dungan
- Title
- Owner/Optometrist
- Phone
- (815) 742-8064
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1306561451
- Entity type
- Organization
- NPI issued
- 11 Oct 2022
- Record last updated
- 25 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.