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 BLVD, SUITE 110, NEW LENOX, IL 60451-8639
(815) 485-2727
(815) 485-3034
Mailing address
1870 SILVER CROSS BLVD, SUITE 110, NEW LENOX, IL 60451-1871
(815) 485-2727
(815) 485-3034
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036097974
IL
Other
Enumeration date
04/20/2006
Last updated
03/19/2024
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