Selvaraj Ophthalmology LLC

NPI #1750683892 in Chicago, Illinois

Provider Information

NPI Number: 1750683892
Entity Type: Organization
Organization Name: Selvaraj Ophthalmology LLC
Primary Specialty: Specialist
Enumeration Date: Nov 22, 2010
Last Updated: Feb 14, 2011

Practice Location

Address: 111 N WABASH AVE
Address 2: SUITE 1610
City: Chicago
State: Illinois
ZIP Code: 60602-1903
Phone: (312) 263-6350

Authorized Official

Name: DR. PRAKASH SELVARAJ, M.D.
Title: MEMBER
Phone: (630) 759-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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