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Organization
WHEATON EYE CLINIC LTD
Active
Organization
WHEATON EYE CLINIC LTD
Active
Other names
Wheaton Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WHITE (CREDENTIALING SPECIALIST)
(630) 588-3630
Entity
Organization
Contact information
Practice address
980 S IL ROUTE 59, BARTLETT, IL 60103-1668
(630) 668-8250
(630) 668-8916
Mailing address
2015 N MAIN ST, WHEATON, IL 60187-3190
(630) 668-8250
(630) 668-8916
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
08/29/2024
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