Suburban Retina Ltd

NPI #1710033352 in Lombard, Illinois

Provider Information

NPI Number: 1710033352
Entity Type: Organization
Organization Name: Suburban Retina Ltd
Primary Specialty: Ophthalmology
Enumeration Date: Jan 26, 2007
Last Updated: Mar 27, 2017

Practice Location

Address: 130 S MAIN ST
Address 2: STE 303
City: Lombard
State: Illinois
ZIP Code: 60148-2670
Phone: (630) 424-9877

Authorized Official

Name: SUSAN G VIERLING, M.D.
Title: OWNER
Phone: (630) 424-9877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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