# CHICAGO EYE CARE AND SURGERY CENTER INC

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

## Provider details

- **NPI number:** 1760734404
- **Authorized official:** JINGTAO GUO (PRESIDENT)
- **Authorized official phone:** (773) 968-8203

## Contact information

- **Practice address:** 2345 S WENTWORTH AVE, STE B, CHICAGO, IL 60616-5600
- **Practice address phone:** (312) 225-5829
- **Mailing address:** 2345 S WENTWORTH AVE, STE B, CHICAGO, IL 60616-5601
- **Mailing address phone:** (312) 225-5829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036107010 | IL | Yes |

## Other

- **Enumeration date:** 10/04/2012
- **Last updated:** 10/04/2012