Organization
ILLINOIS EYE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD A DOISY III M.D. (PRESIDENT)
(618) 931-6980
Entity
Organization
Contact information
Practice address
2421 CORPORATE CTR STE 102, GRANITE CITY, IL 62040-4195
(618) 931-6980
(618) 931-2470
Mailing address
2421 CORPORATE CTR STE 102, GRANITE CITY, IL 62040-4195
(618) 931-6980
(618) 931-2470
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
336017108
IL
Other
Enumeration date
04/23/2007
Last updated
05/02/2012
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