# WARRENVILLE EYECARE LLC

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

## Provider details

- **NPI number:** 1457696577
- **Authorized official:** LISA NIJM (OWNER)
- **Authorized official phone:** (630) 393-7100

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036126563 | IL | Yes |

## Other

- **Enumeration date:** 11/29/2012
- **Last updated:** 12/13/2016