# LASIK-1 OF CHICAGO, LLC

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

## Provider details

- **NPI number:** 1386801439
- **Authorized official:** DR. STEPHEN B WILES M.D. (CEO/OWNER)
- **Authorized official phone:** (816) 455-2020

## Contact information

- **Practice address:** 477 E BUTTERFIELD RD, STE. 101, LOMBARD, IL 60148-5618
- **Practice address phone:** (630) 493-4900
- **Mailing address:** 211 NE 54TH ST, STE. 200, KANSAS CITY, MO 64118-4362
- **Mailing address phone:** (816) 413-4504
- **Mailing address fax:** (816) 413-4568

## Taxonomy

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

## Other

- **Enumeration date:** 05/16/2008
- **Last updated:** 05/16/2008