Organization
WHEATON EYE CLINIC LTD
Active
Other names
Wheaton Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WHITE (CREDENTIALING SPECIALIST)
(630) 588-3630
Entity
Organization
Contact information
Practice address
980 S IL ROUTE 59, BARTLETT, IL 60103-1668
(630) 668-8250
(630) 668-8916
Mailing address
2015 N MAIN ST, WHEATON, IL 60187-3190
(630) 668-8250
(630) 668-8916
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
08/29/2024
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