# SUBURBAN EYES CLINIC, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1982886883
- **Authorized official:** PHILLIP WU MD (PARTNER)
- **Authorized official phone:** (847) 424-1100

## Contact information

- **Practice address:** 500 DAVIS ST, SUITE 810, EVANSTON, IL 60201-4668
- **Practice address phone:** (847) 424-1100
- **Practice address fax:** (847) 864-6138
- **Mailing address:** 500 DAVIS ST, SUITE 810, EVANSTON, IL 60201-4668
- **Mailing address phone:** (847) 424-1100
- **Mailing address fax:** (847) 864-6138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036107379 | IL | Yes |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 07/02/2009