Organization
SUBURBAN RETINA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN G VIERLING M.D. (OWNER)
(630) 424-9877
Entity
Organization
Contact information
Practice address
130 S MAIN ST, STE 303, LOMBARD, IL 60148-2670
(630) 424-9877
(630) 424-9878
Mailing address
130 S MAIN ST, STE 303, LOMBARD, IL 60148-2670
(630) 424-9877
(630) 424-9878
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-091886
IL
Other
Enumeration date
01/26/2007
Last updated
03/27/2017
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