Illinois Eye Specialists

NPI #1710105101 in Granite City, Illinois

Provider Information

NPI Number: 1710105101
Entity Type: Organization
Organization Name: Illinois Eye Specialists
Primary Specialty: Ophthalmology
Enumeration Date: Apr 23, 2007
Last Updated: May 2, 2012

Practice Location

Address: 2421 CORPORATE CTR STE 102
City: Granite City
State: Illinois
ZIP Code: 62040-4195
Phone: (618) 931-6980

Authorized Official

Name: DR. EDWARD A DOISY III, M.D.
Title: PRESIDENT
Phone: (618) 931-6980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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