# MILWAUKEE AVENUE EYE CENTER, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Milwaukee Avenue Eye Center SC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760558464
- **Authorized official:** DONNA WYSOKINSKI (PRACTICE MANAGER)
- **Authorized official phone:** (773) 775-0811

## Contact information

- **Practice address:** 7421 N MILWAUKEE AVE, NILES, IL 60714-3707
- **Practice address phone:** (773) 775-0811
- **Practice address fax:** (773) 819-7013
- **Mailing address:** 7421 N MILWAUKEE AVE, NILES, IL 60714-3707
- **Mailing address phone:** (773) 775-0811
- **Mailing address fax:** (773) 819-7013

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 08/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001602167 | BCBS | IL |
| 05 | — | 1760558464 | — | IL |
| 01 | — | CC0518 | MEDICARE RAILROAD | IL |