West Suburban Eye Center, S.c.
NPI #1619936358 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1619936358
- Entity Type
- Organization
- Organization Name
- West Suburban Eye Center, S.c.
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Mar 21, 2006
- Last Updated
- Oct 4, 2011
Practice Location
- Address
- 396 REMINGTON BLVD.
- Address 2
- SUITE 340
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-3442
- Phone
- (630) 759-9800
Authorized Official
- Name
- PRAKASH SELVARAJ, M.D.
- Title
- PRESIDENT
- Phone
- (630) 759-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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