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Organization
WOHL EYE CENTER SC
Active
Organization
WOHL EYE CENTER SC
Active
Parent organization
WOHL EYE CENTER SC
Other names
Optical Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOHL EYE CENTER SC
Authorized official
LISA WOHL M.D. (MEDICAL DIRECTOR)
(630) 351-2030
Entity
Organization
Contact information
Practice address
303 E ARMY TRAIL RD, BLOOMINGDALE, IL 60108-2169
(630) 351-2030
(630) 351-3983
Mailing address
303 E ARMY TRAIL RD, BLOOMINGDALE, IL 60108-2169
(630) 351-2030
(630) 351-3983
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060734
—
IL
Enumeration date
02/15/2007
Last updated
11/04/2008
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