Organization
KERATOCONUS SPECIALIST OF ILLINOIS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN B EIDEN OD (OWNER/MEDICAL DIRECTOR)
(847) 412-0311
Entity
Organization
Contact information
Practice address
4 WESTBROOK CORPORATE CTR, SUITE 111, WESTCHESTER, IL 60154-5752
(708) 562-4682
(708) 562-4785
Mailing address
360 S WAUKEGAN RD, SUITE A, DEERFIELD, IL 60015-5653
(847) 412-0315
(847) 412-0316
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
046007419
IL
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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