Organization
WARRENVILLE EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NIJM (OWNER)
(630) 393-7100
Entity
Organization
Contact information
Practice address
2S631 RTE 59, WARRENVILLE, IL 60555-1441
(630) 393-7100
Mailing address
2S631 RTE 59, WARRENVILLE, IL 60555-1441
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036126563
IL
Other
Enumeration date
11/29/2012
Last updated
12/13/2016
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