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Organization
NORTH SHORE EYE AND VASCULAR SC
Active
Organization
NORTH SHORE EYE AND VASCULAR SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC TOLITANO M.D. (OWNER)
(847) 590-1500
Entity
Organization
Contact information
Practice address
236 E IRVING PARK RD, WOOD DALE, IL 60191-2099
(847) 590-1500
(847) 590-1502
Mailing address
236 E IRVING PARK RD, WOOD DALE, IL 60191-2099
(847) 590-1500
(847) 590-1502
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036049793
IL
2086S0129X
Vascular Surgery Physician
036067328
IL
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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