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Contact Information

JACK G GUENTHER, OD
19607 S LAGRANGE ROAD
MOKENA, IL60448
 Phone: 708-479-1616
 Fax: 708-479-6699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JACK G GUENTHER · (Male)

NPI # 1215047063
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/30/2006
Last updated 09/25/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046008314
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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