# ILLINOIS EYE, LLC

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

## Provider details

- **NPI number:** 1972027472
- **Authorized official:** MR. MICHAEL T. FRICKE (SECRETARY)
- **Authorized official phone:** (844) 377-6468

## Contact information

- **Practice address:** 1630 GATEWAY DR, SYCAMORE, IL 60178-3182
- **Practice address phone:** (815) 756-8571
- **Practice address fax:** (815) 756-5603
- **Mailing address:** 2727 N HARWOOD ST STE 250, DALLAS, TX 75201-2410
- **Mailing address phone:** (844) 377-6468
- **Mailing address fax:** (469) 677-6260

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2017
- **Last updated:** 07/27/2017