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Organization

WYSE EYECARE SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMARA B WYSE M.D. (PRESIDENT)
(847) 497-2020
Entity
Organization

Contact information

Practice address
900 SKOKIE BLVD, SUITE 150, NORTHBROOK, IL 60062-4012
(847) 497-2020
(847) 497-2002
Mailing address
900 SKOKIE BLVD, SUITE 150, NORTHBROOK, IL 60062-4012
(847) 497-2020
(847) 497-2002

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036092731
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1600854
BCBS OF IL
IL
Enumeration date
10/12/2009
Last updated
01/04/2013
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