# WHEATON EYE CLINIC LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wheaton Eye Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558086652
- **Authorized official:** LISA WHITE (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (630) 588-3630

## Contact information

- **Practice address:** 980 S IL ROUTE 59, BARTLETT, IL 60103-1668
- **Practice address phone:** (630) 668-8250
- **Practice address fax:** (630) 668-8916
- **Mailing address:** 2015 N MAIN ST, WHEATON, IL 60187-3190
- **Mailing address phone:** (630) 668-8250
- **Mailing address fax:** (630) 668-8916

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2022
- **Last updated:** 08/29/2024