# NORTHERN ILLINOIS EYE CLINIC LLC

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

## Provider details

- **NPI number:** 1033487954
- **Authorized official:** EMILY VELOTTA M.D. (PRESIDENT)
- **Authorized official phone:** (847) 668-5109

## Contact information

- **Practice address:** 333 E IL ROUTE 83, 106, MUNDELEIN, IL 60060-4214
- **Practice address phone:** (847) 566-5300
- **Mailing address:** 19523 W BRAE LOCH RD, GRAYSLAKE, IL 60030-1307

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2011
- **Last updated:** 02/01/2025