Organization
EYE CONSULTANTS OF IL LTD
Active
Other names
Eye Consultants of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE M MCDONALD (BUSINESS MANAGER)
(314) 843-4044
Entity
Organization
Contact information
Practice address
12818 TESSON FERRY RD, SUITE 201, SAINT LOUIS, MO 63128-2945
(314) 843-4044
(314) 843-2941
Mailing address
208 W MAIN ST, STAUNTON, IL 62088-1470
(618) 635-3535
(314) 843-2941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
03058639
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058639
—
IL
Enumeration date
03/08/2007
Last updated
06/01/2010
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