Jay Charles Black is a Optometrist based in Loves Park, IL. Jay Charles Black practices in Loves Park, IL and has the professional credentials of OD. The NPI Number for Jay Charles Black is 1629113261 and holds a License No. 466709 (Illinois).
The current practice location address for Jay Charles Black is 5316 N Second Street, Loves Park, IL and can be reached out via phone at 815-877-6551 and via fax at 815-877-4821.
Identifier | Type | State | Issuer |
---|---|---|---|
362871342 | 01 | IL | FED ID NUMBER |
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