Organization
WHEATON EYE CLINIC LTD
Active
Other names
Wheaton Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ESMERALDA CASTILLO (CREDENTIALING SPECIALIST)
(773) 398-7791
Entity
Organization
Contact information
Practice address
2015 N MAIN ST, WHEATON, IL 60187-3190
(630) 668-8250
(630) 668-8916
Mailing address
2015 N MAIN ST, WHEATON, IL 60187-3152
(630) 668-8250
(630) 668-8916
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215844
BCBS
IL
01
—
0800326
UNITED HEALTHCARE
IL
01
—
8254738
AETNA
IL
01
—
CB4564
RAILROAD MEDICARE
IL
Enumeration date
10/03/2005
Last updated
02/02/2026
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