Eye Specialist Group, LLC
Ophthalmology in Oak Lawn, IL. Organization (NPI-2).
NPI number1669945440
StatusActive
Last updated in NPPESJan 4, 2019
Details
- NPI
- 1669945440
- Entity type
- Organization (NPI-2)
- Legal business name
- Eye Specialist Group, LLC
- Organization subpart
- No
- Enumeration date
- Jan 4, 2019
- Last updated
- Jan 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Practice location
4400 W 95th St Ste 312Oak Lawn, IL 60453-2660
Phone 708-307-0217
Mailing address
4400 W 95th St Ste 312Oak Lawn, IL 60453-2660
Phone 708-307-0217
Authorized official
Carrie Violetto
Practice Manager
7083070217
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