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Organization

STEPHEN A. VILE MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN A. VILE MD SC MD (OWNER)
(847) 299-5501
Entity
Organization

Contact information

Practice address
940 LEE ST, DES PLAINES, IL 60016-6555
(847) 299-5501
Mailing address
940 LEE ST, DES PLAINES, IL 60016-6555

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042001978
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01627254
BC/BS
IL
05
036041556
IL
Enumeration date
12/14/2007
Last updated
08/06/2021
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