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Organization
PEDIATRIC OPHTHALMOLOGY, ADULT STRABISMUS CENTER LTD.
Active
Organization
PEDIATRIC OPHTHALMOLOGY, ADULT STRABISMUS CENTER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MITTELMAN M.D. (PRESIDENT)
(847) 292-2020
Entity
Organization
Contact information
Practice address
1875 W DEMPSTER ST, SUITE 610, PARK RIDGE, IL 60068-1186
(847) 292-2020
Mailing address
1875 W DEMPSTER ST, SUITE 610, PARK RIDGE, IL 60068-1186
(847) 292-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3643318
IL
Other
Enumeration date
01/07/2008
Last updated
07/18/2008
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