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Organization
WHEATON EYE CLINIC LTD
Active
Organization
WHEATON EYE CLINIC LTD
Active
Other names
Wheaton Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ESMERALDA CASTILLO (CREDENTIALING SPECIALIST)
(773) 398-7791
Entity
Organization
Contact information
Practice address
2015 N MAIN ST, WHEATON, IL 60187-3190
(630) 668-8250
(630) 668-8916
Mailing address
2015 N MAIN ST, WHEATON, IL 60187-3152
(630) 668-8250
(630) 668-8916
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215844
BCBS
IL
01
—
0800326
UNITED HEALTHCARE
IL
01
—
8254738
AETNA
IL
01
—
CB4564
RAILROAD MEDICARE
IL
Enumeration date
10/03/2005
Last updated
02/02/2026
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