Fagman Eye Surgery Assoc

NPI #1164604427 in Yorkville, Illinois

Provider Information

NPI Number: 1164604427
Entity Type: Organization
Organization Name: Fagman Eye Surgery Assoc
Subpart: Yes (part of a larger organization)
Parent Organization: FAGMAN EYE SURGERY ASSOC
Primary Specialty: Specialist
Enumeration Date: Nov 28, 2007
Last Updated: Nov 28, 2007

Practice Location

Address: 120 E COUNTRYSIDE PKWY
City: Yorkville
State: Illinois
ZIP Code: 60560-1877
Phone: (630) 553-6166

Authorized Official

Name: MRS. MARY E MELICK, COA
Title: OFFICE MANAGER
Phone: (630) 553-6166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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