DR. JAY EBBESEN, OD

Optometrist

Active Individual
NPI: 1801940580

Practice Address

121 E LOCUST ST
Dekalb, IL 60115

Phone: (815) 756-6388

Specialties

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

Frequently Asked Questions

NPI 1801940580 is the National Provider Identifier for DR. JAY EBBESEN, OD, a Optometrist provider located in Dekalb, IL. This NPI was enumerated on January 22, 2007.
DR. JAY EBBESEN, OD practices at 121 E LOCUST ST, Dekalb, IL 60115.

Quick Facts

NPI
1801940580
Type
Individual
Enumerated
Jan 22, 2007
Last Updated
Sep 21, 2011

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