Organization
NORTHSHORE EYE CARE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANY MORALES M.D. (PRESIDENT)
(847) 295-2445
Entity
Organization
Contact information
Practice address
800 N WESTMORELAND RD, SUITE 206, LAKE FOREST, IL 60045-1673
(847) 295-2445
(857) 615-2228
Mailing address
800 N WESTMORELAND RD, SUITE 206, LAKE FOREST, IL 60045-1673
(847) 295-2445
(857) 615-2228
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036100283
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100283
—
IL
01
—
4932200
BLUE CROSS BLUE SHIELD
ID
Enumeration date
08/20/2006
Last updated
04/21/2010
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