Organization
WEST SUBURBAN EYE CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH SELVARAJ M.D. (PRESIDENT)
(630) 759-9800
Entity
Organization
Contact information
Practice address
396 REMINGTON BLVD., SUITE 340, BOLINGBROOK, IL 60440-3442
(630) 759-9800
(630) 759-9858
Mailing address
396 REMINGTON BLVD., SUITE 340, BOLINGBROOK, IL 60440-3442
(630) 759-9800
(630) 759-9858
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036095872
IL
Other
Enumeration date
03/21/2006
Last updated
10/04/2011
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