Organization
LASER AND CATARACT INSTITUTE, LLC
Active
Other names
Multack Laser and Cataract Institute, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM MULTACK DO (MEDICAL DIRECTOR)
(630) 697-1245
Entity
Organization
Contact information
Practice address
22200 WOLF RD, FRANKFORT, IL 60423-7721
(630) 697-1245
Mailing address
22200 WOLF RD, FRANKFORT, IL 60423-7721
(630) 697-1245
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042.620929
STATE OF ILLINOIS
IL
Enumeration date
08/28/2020
Last updated
08/28/2020
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