Organization
EYE SURGERY CENTER OF MARYVILLE LLC
Active
Other names
Eyes of Illinois Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PRAVOOT GIRA MD (VP, CMO)
(314) 909-0633
Entity
Organization
Contact information
Practice address
12 PROFESSIONAL PARK DR, MARYVILLE, IL 62062-5672
(618) 288-7483
(618) 288-4583
Mailing address
12 PROFESSIONAL PARK DR, MARYVILLE, IL 62062-5672
(618) 288-7483
(618) 288-7196
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002132
IL
Other
Enumeration date
07/07/2005
Last updated
04/11/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us