# COMPREHENSIVE EYECARE PHYSICIANS PC

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

## Provider details

- **NPI number:** 1205959053
- **Authorized official:** CECELIA GIBSON (OPHT. TECH)
- **Authorized official phone:** (847) 564-2020

## Contact information

- **Practice address:** 6233 W CERMAK RD, BERWYN, IL 60402
- **Practice address phone:** (708) 749-2020
- **Mailing address:** 1917 CHERRY LN, NORTHBROOK, IL 60062

## Taxonomy

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

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 10/16/2007