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Organization
PEDIATRIC EYE ASSOCIATES, PC
Active
Organization
PEDIATRIC EYE ASSOCIATES, PC
Active
Other names
Pediatric Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH FISHMAN (OWNER)
(847) 256-2020
Entity
Organization
Contact information
Practice address
3612 LAKE AVE, SUITE 2C, WILMETTE, IL 60091-1000
(847) 256-2020
Mailing address
3612 LAKE AVE, SUITE 2C, WILMETTE, IL 60091-1000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
08/29/2019
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