Organization
CHICAGO EYE CARE AND SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINGTAO GUO (PRESIDENT)
(773) 968-8203
Entity
Organization
Contact information
Practice address
2345 S WENTWORTH AVE, STE B, CHICAGO, IL 60616-5600
(312) 225-5829
Mailing address
2345 S WENTWORTH AVE, STE B, CHICAGO, IL 60616-5601
(312) 225-5829
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036107010
IL
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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