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Organization
KIRK EYE CENTER, SC
Active
Organization
KIRK EYE CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HAROLD KIRK M.D. (PRESIDENT)
(708) 771-3334
Entity
Organization
Contact information
Practice address
7427 LAKE ST, RIVER FOREST, IL 60305-1817
(708) 771-3334
(708) 771-9614
Mailing address
7427 LAKE ST, RIVER FOREST, IL 60305-1817
(708) 771-3334
(708) 771-9614
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042000161
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1607956
BC/BS ILLINOIS
IL
01
—
622980
MEDICARE MEDICAL GRP#
IL
01
—
623030
OPTOMETRY GROUP #
IL
Enumeration date
09/26/2006
Last updated
04/04/2023
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