Teamvision Mso LLC

NPI #1285457143 in La Grange, Illinois

Provider Information

NPI Number
1285457143
Entity Type
Organization
Organization Name
Teamvision Mso LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Nov 7, 2024
Last Updated
Jan 17, 2025

Practice Location

Address
100 W CALENDAR AVE
ZIP Code
60525-2325
Phone
(708) 354-0500

Authorized Official

Name
TILLIE ANDRADE
Title
CREDENTIALING SPECIALIST
Phone
(702) 449-9173

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ophthalmologic SurgeryOphthalmologic Surgery
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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