# EYE SPECIALISTS OF CHICAGO AND HIGHLAND PARK

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

## Provider details

- **NPI number:** 1649215823
- **Authorized official:** MRS. VAL RUEHL (INSURANCE COORDINATOR)
- **Authorized official phone:** (773) 736-1717

## Contact information

- **Practice address:** 5600 W ADDISON ST, SUITE 102, CHICAGO, IL 60634-4401
- **Practice address phone:** (773) 736-1717
- **Practice address fax:** (773) 736-7538
- **Mailing address:** 5600 W ADDISON ST, SUITE 102, CHICAGO, IL 60634-4401
- **Mailing address phone:** (773) 736-1717
- **Mailing address fax:** (773) 736-7538

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 03/08/2012