Organization
VISION SURGEONS AND CONSULTANTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE GOLDEN-BRENNER M.D. (PRESIDENT)
(847) 328-2300
Entity
Organization
Contact information
Practice address
800 AUSTIN ST, EAST TOWER STE 151, EVANSTON, IL 60202-3439
(847) 328-2300
(847) 492-1988
Mailing address
5501 W 79TH ST, SUITE 400, BURBANK, IL 60459-1784
(773) 884-4523
(773) 884-4580
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623637
BLUE SHIELD
IL
Enumeration date
05/03/2006
Last updated
10/21/2014
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