# AUDREY L WAYNE MD SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023107653
- **Authorized official:** AUDREY L WAYNE MD (PHYSICIAN OWNER)
- **Authorized official phone:** (630) 654-4551

## Contact information

- **Practice address:** 12 SALT CREEK LANE, STE 100, HINSDALE, IL 60521
- **Practice address phone:** (630) 654-4551
- **Practice address fax:** (630) 654-0498
- **Mailing address:** 12 SALT CREEK LANE, STE 100, HINSDALE, IL 60521
- **Mailing address phone:** (630) 654-4551
- **Mailing address fax:** (630) 654-0498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/22/2020