Eye Specialist Group, LLC

NPI #1669945440 in Oak Lawn, Illinois

Provider Information

NPI Number: 1669945440
Entity Type: Organization
Organization Name: Eye Specialist Group, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jan 4, 2019
Last Updated: Jan 4, 2019

Practice Location

Address: 4400 W 95TH ST STE 312
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2660
Phone: (708) 307-0217

Authorized Official

Name: CARRIE VIOLETTO
Title: PRACTICE MANAGER
Phone: (708) 307-0217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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