Organization
PEDIATRIC OPHTHALMOLOGY, ADULT STRABISMUS CENTER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MITTELMAN M.D. (PRESIDENT)
(847) 292-2020
Entity
Organization
Contact information
Practice address
1875 W DEMPSTER ST, SUITE 610, PARK RIDGE, IL 60068-1186
(847) 292-2020
Mailing address
1875 W DEMPSTER ST, SUITE 610, PARK RIDGE, IL 60068-1186
(847) 292-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3643318
IL
Other
Enumeration date
01/07/2008
Last updated
07/18/2008
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