# OLYMPIA FIELDS EYECARE, LTD.

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

## Provider details

- **NPI number:** 1598762007
- **Authorized official:** SHARON S. BURKE M.D. (OWNER)
- **Authorized official phone:** (708) 957-1618

## Contact information

- **Practice address:** 19740 GOVERNORS HWY STE 124, FLOSSMOOR, IL 60422-2085
- **Practice address phone:** (708) 748-5202
- **Practice address fax:** (708) 748-7305
- **Mailing address:** 19740 GOVERNORS HWY STE 124, FLOSSMOOR, IL 60422-2085
- **Mailing address phone:** (708) 957-1618
- **Mailing address fax:** (708) 748-7305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 042007134 | IL | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 03/09/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036078950 | — | IL |