# FISHER-SWALE-NICHOLSON EYE CENTER SC

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

## Provider details

- **NPI number:** 1639277940
- **Authorized official:** MS. TAMMY A WILHOYT (OFFICE MANAGER)
- **Authorized official phone:** (815) 932-2020

## Contact information

- **Practice address:** 352 BROWN BLVD, BOURBONNAIS, IL 60914-2458
- **Practice address phone:** (815) 932-2020
- **Practice address fax:** (815) 937-0060
- **Mailing address:** 352 BROWN BLVD, BOURBONNAIS, IL 60914-2458
- **Mailing address phone:** (815) 932-2020
- **Mailing address fax:** (815) 937-0060

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/21/2014