Organization
ADVANCED EYE CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY A KISLA DO (OWNER)
(815) 485-2727
Entity
Organization
Contact information
Practice address
1870 SILVER CROSS BOULEVARD, SUITE110, NEW LENOX, IL 60451
(815) 485-2727
(815) 485-3034
Mailing address
1870 SILVER CROSS BOULEVARD, SUITE110, NEW LENOX, IL 60451
(815) 485-2727
(815) 485-3034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
042618144
IL
Other
Enumeration date
07/14/2009
Last updated
08/27/2010
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