IndividualActive
Dale Swetlishnoff, OD
NPI 1649233057 · Optometrist · Benld, IL
Provider details
- NPI number
- 1649233057
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 046008093 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
600 S 8th St
Benld, IL 62009-1446
Phone: (217) 835-7724
Fax: (217) 835-7611
Approximate (ZIP-level) locationGet directions
Mailing address
600 S 8th St
Benld, IL 62009-1446
Registry dates
- Enumerated
- 2006-04-07
- Last updated
- 2024-12-24
- Certified
- 2024-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.