# WEST SUBURBAN EYE CENTER, S.C.

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

## Provider details

- **NPI number:** 1619936358
- **Authorized official:** PRAKASH SELVARAJ M.D. (PRESIDENT)
- **Authorized official phone:** (630) 759-9800

## Contact information

- **Practice address:** 396 REMINGTON BLVD., SUITE 340, BOLINGBROOK, IL 60440-3442
- **Practice address phone:** (630) 759-9800
- **Practice address fax:** (630) 759-9858
- **Mailing address:** 396 REMINGTON BLVD., SUITE 340, BOLINGBROOK, IL 60440-3442
- **Mailing address phone:** (630) 759-9800
- **Mailing address fax:** (630) 759-9858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036095872 | IL | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 10/04/2011