Organization
NORTH SHORE EYE AND VASCULAR SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC TOLITANO M.D. (OWNER)
(847) 590-1500
Entity
Organization
Contact information
Practice address
236 E IRVING PARK RD, WOOD DALE, IL 60191-2099
(847) 590-1500
(847) 590-1502
Mailing address
236 E IRVING PARK RD, WOOD DALE, IL 60191-2099
(847) 590-1500
(847) 590-1502
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036049793
IL
2086S0129X
Vascular Surgery Physician
036067328
IL
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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