Organization
COMPREHENSIVE EYECARE PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECELIA GIBSON (OPHT. TECH)
(847) 564-2020
Entity
Organization
Contact information
Practice address
6233 W CERMAK RD, BERWYN, IL 60402
(708) 749-2020
Mailing address
1917 CHERRY LN, NORTHBROOK, IL 60062
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
10/16/2007
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