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Organization

WOHL EYE CENTER SC

Active
Parent organization
WOHL EYE CENTER SC
Other names
Optical Department
Organization subpart
Yes

Provider details

NPI number
Legal business name
WOHL EYE CENTER SC
Authorized official
LISA WOHL M.D. (MEDICAL DIRECTOR)
(630) 351-2030
Entity
Organization

Contact information

Practice address
303 E ARMY TRAIL RD, BLOOMINGDALE, IL 60108-2169
(630) 351-2030
(630) 351-3983
Mailing address
303 E ARMY TRAIL RD, BLOOMINGDALE, IL 60108-2169
(630) 351-2030
(630) 351-3983

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
332H00000X
Eyewear Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036060734
IL
Enumeration date
02/15/2007
Last updated
11/04/2008
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