Jonathan Edward Micetich is a Optometrist based in Vienna, IL. Jonathan Edward Micetich practices in Coal City, IL and has the professional credentials of OD. The NPI Number for Jonathan Edward Micetich is 1740273754 and holds a License No. 046008925 (Illinois).
The current practice location address for Jonathan Edward Micetich is 20 E North Street, Coal City, IL and can be reached out via phone at 815-634-4825 and via fax at 815-634-4938.
Identifier | Type | State | Issuer |
---|---|---|---|
046008925 | 05 | IL | |
3232003 | 01 | IL | BLUE CROSS BLUE SHIELD OF ILLINOIS |
5075840001 | 01 | IL | NATIONAL GOVERMENT SERVICES |
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