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Organization

EYE SURGERY CENTER OF HINSDALE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE L NEAL (CHIEF EXECUTIVE OFFICER)
(469) 214-0144
Entity
Organization

Contact information

Practice address
950 N YORK RD STE 203, HINSDALE, IL 60521-8609
(630) 789-6900
(630) 789-3909
Mailing address
75 REMITTANCE DR DEPT 6745, CHICAGO, IL 60675-6745
(630) 789-6900

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002942
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036079800
IL
Enumeration date
12/14/2005
Last updated
02/05/2020
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