DR. CHASE RUDOLPH, O.D.

Optometrist

Active Individual
NPI: 1457663809

Practice Address

3121 S PARK AVE
Herrin, IL 62948

Phone: (618) 942-5465

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 046010332 (IL)

Frequently Asked Questions

NPI 1457663809 is the National Provider Identifier for DR. CHASE RUDOLPH, O.D., a Optometrist provider located in Herrin, IL. This NPI was enumerated on July 13, 2010.
DR. CHASE RUDOLPH, O.D. practices at 3121 S PARK AVE, Herrin, IL 62948.

Quick Facts

NPI
1457663809
Type
Individual
Enumerated
Jul 13, 2010
Last Updated
Dec 16, 2015

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