Organization
OPHTHALMIC SPECIALISTS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL GENA (OFFICE MANAGER)
(708) 798-2191
Entity
Organization
Contact information
Practice address
18440 GOVERNORS HWY, HOMEWOOD, IL 60430-2911
(708) 798-2191
Mailing address
18440 GOVERNORS HWY, HOMEWOOD, IL 60430-2911
(708) 798-2191
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/23/2006
Last updated
05/23/2012
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