# PEDIATRIC OPHTHALMOLOGY, ADULT STRABISMUS CENTER LTD.

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

## Provider details

- **NPI number:** 1689859811
- **Authorized official:** DAVID MITTELMAN M.D. (PRESIDENT)
- **Authorized official phone:** (847) 292-2020

## Contact information

- **Practice address:** 1875 W DEMPSTER ST, SUITE 610, PARK RIDGE, IL 60068-1186
- **Practice address phone:** (847) 292-2020
- **Mailing address:** 1875 W DEMPSTER ST, SUITE 610, PARK RIDGE, IL 60068-1186
- **Mailing address phone:** (847) 292-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 3643318 | IL | Yes |

## Other

- **Enumeration date:** 01/07/2008
- **Last updated:** 07/18/2008