Organization
FAGMAN EYE SURGERY ASSOC
Active
Parent organization
FAGMAN EYE SURGERY ASSOC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAGMAN EYE SURGERY ASSOC
Authorized official
MRS. MARY E MELICK COA (OFFICE MANAGER)
(630) 553-6166
Entity
Organization
Contact information
Practice address
120 E COUNTRYSIDE PKWY, YORKVILLE, IL 60560-1877
(630) 553-6166
(630) 553-6178
Mailing address
120 E COUNTRYSIDE PKWY, YORKVILLE, IL 60560-1877
(630) 553-6166
(630) 553-6178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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