Organization
LASIK-1 OF CHICAGO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN B WILES M.D. (CEO/OWNER)
(816) 455-2020
Entity
Organization
Contact information
Practice address
477 E BUTTERFIELD RD, STE. 101, LOMBARD, IL 60148-5618
(630) 493-4900
Mailing address
211 NE 54TH ST, STE. 200, KANSAS CITY, MO 64118-4362
(816) 413-4504
(816) 413-4568
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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