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Organization
NORTH SUBURBAN OPHTHALMOLOGISTS, S.C.
Active
Organization
NORTH SUBURBAN OPHTHALMOLOGISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK ALBERT SCELZO M.D. (VICE-PRESIDENT)
(847) 724-5608
Entity
Organization
Contact information
Practice address
2150 PFINGSTEN RD, SUITE 2240, GLENVIEW, IL 60026-1361
(847) 724-5608
(847) 724-8653
Mailing address
2150 PFINGSTEN RD, SUITE 2240, GLENVIEW, IL 60026-1361
(847) 724-5608
(847) 724-8653
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615899
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/10/2007
Last updated
02/06/2013
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