# HINSDALE EYE CENTER LLC

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

## Provider details

- **NPI number:** 1992176580
- **Authorized official:** DAWN KIESLING (BILLING MANAGER)
- **Authorized official phone:** (630) 325-5200

## Contact information

- **Practice address:** 126 W FIRST ST, HINSDALE, IL 60521-4013
- **Practice address phone:** (630) 325-5200
- **Practice address fax:** (630) 325-5569
- **Mailing address:** 126 W FIRST ST, HINSDALE, IL 60521-4013
- **Mailing address phone:** (630) 325-5200
- **Mailing address fax:** (630) 325-5569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036111405 | IL | Yes |

## Other

- **Enumeration date:** 10/08/2015
- **Last updated:** 12/07/2022
