Wheaton Eye Clinic Ltd

NPI #1588647101 in Wheaton, Illinois

Provider Information

NPI Number: 1588647101
Entity Type: Organization
Organization Name: Wheaton Eye Clinic Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: WHEATON EYE CLINIC LTD
Primary Specialty: Ophthalmology
Enumeration Date: Nov 29, 2005
Last Updated: Sep 24, 2024

Practice Location

Address: 2015 N MAIN ST
City: Wheaton
State: Illinois
ZIP Code: 60187-3190
Phone: (630) 668-8250

Authorized Official

Name: LISA WHITE
Title: CREDENTIALING SPECIALIST
Phone: (630) 588-3630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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