Organization
DOWNERS GROVE EYE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DONALD MACEK OD (PRESIDENT)
(630) 737-1001
Entity
Organization
Contact information
Practice address
4958 FOREST AVE, DOWNERS GROVE, IL 60515-3508
(630) 737-1001
(630) 737-1003
Mailing address
4958 FOREST AVE, DOWNERS GROVE, IL 60515-3508
(630) 737-1001
(630) 737-1003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008708
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376550061
INDIVIDUAL NPI AS EMPLOYE
—
01
—
1801997655
BCBS
IL
01
—
2234272
BCBS
IL
Enumeration date
09/26/2006
Last updated
04/19/2016
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