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Organization

WARRENVILLE EYECARE LLC

Active
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Organization

WARRENVILLE EYECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA NIJM (OWNER)
(630) 393-7100
Entity
Organization

Contact information

Practice address
2S631 RTE 59, WARRENVILLE, IL 60555-1441
(630) 393-7100
Mailing address
2S631 RTE 59, WARRENVILLE, IL 60555-1441

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036126563
IL

Other

Enumeration date
11/29/2012
Last updated
12/13/2016
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