Organization
PROGRESSIVE EYE CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA LOUISE DAVIS M.D. (PHYSICIAN OWNER)
(630) 527-1920
Entity
Organization
Contact information
Practice address
3100 OGDEN AVE, LISLE, IL 60532-1603
(630) 527-1920
(630) 527-0125
Mailing address
3100 OGDEN AVE, LISLE, IL 60532-1603
(630) 527-1920
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222972
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/22/2006
Last updated
10/15/2007
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