Organization
WICKER PARK EYE CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHITRA V NADIMPALLI MD (PRESIDENT)
(773) 276-9030
Entity
Organization
Contact information
Practice address
2222 W DIVISION ST, STE 135, CHICAGO, IL 60622-2717
(773) 276-9030
(773) 276-9110
Mailing address
WICKER PARK EYE CENTER LTD., PO BOX 477100, CHICAGO, IL 60647
(773) 276-9030
(773) 276-9110
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Enumeration date
12/12/2007
Last updated
03/21/2008
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