Advanced Eye Care Sc
Ophthalmology in New Lenox, IL. Organization (NPI-2).
NPI number1831154947
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1831154947
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Eye Care Sc
- Organization subpart
- No
- Enumeration date
- Apr 20, 2006
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 036097974 | IL | Yes |
Practice location
1870 Silver Cross BlvdSuite 110
New Lenox, IL 60451-8639
Phone 815-485-2727 · Fax 815-485-3034
Mailing address
1870 Silver Cross BlvdSuite 110
New Lenox, IL 60451-1871
Phone 815-485-2727 · Fax 815-485-3034
Other practice locations
15900 W 127th St Ste 200
Lemont, IL 60439-2912
Lemont, IL 60439-2912
Phone 815-485-2727 · Fax 815-485-3034
Authorized official
Timothy A Kisla
Owner
8154852727
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