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Organization

PEDIATRIC EYE ASSOCIATES, PC

Active
Other names
Pediatric Eye Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH FISHMAN (OWNER)
(847) 256-2020
Entity
Organization

Contact information

Practice address
3612 LAKE AVE, SUITE 2C, WILMETTE, IL 60091-1000
(847) 256-2020
Mailing address
3612 LAKE AVE, SUITE 2C, WILMETTE, IL 60091-1000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
05/31/2006
Last updated
08/29/2019
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