Organization
SELVARAJ OPHTHALMOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH SELVARAJ M.D. (MEMBER)
(630) 759-9800
Entity
Organization
Contact information
Practice address
111 N WABASH AVE, SUITE 1610, CHICAGO, IL 60602-1903
(312) 263-6350
(312) 332-6341
Mailing address
111 N WABASH AVE, SUITE 1610, CHICAGO, IL 60602-1903
(312) 263-6350
(312) 332-6341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/22/2010
Last updated
02/14/2011
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