Organization
MILWAUKEE AVENUE EYE CENTER, S.C.
Active
Other names
Milwaukee Avenue Eye Center SC
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA WYSOKINSKI (PRACTICE MANAGER)
(773) 775-0811
Entity
Organization
Contact information
Practice address
7421 N MILWAUKEE AVE, NILES, IL 60714-3707
(773) 775-0811
(773) 819-7013
Mailing address
7421 N MILWAUKEE AVE, NILES, IL 60714-3707
(773) 775-0811
(773) 819-7013
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001602167
BCBS
IL
05
—
1760558464
—
IL
01
—
CC0518
MEDICARE RAILROAD
IL
Enumeration date
11/27/2006
Last updated
08/29/2025
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