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Organization

EYE SURGERY CENTER, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL PAUL JONES M.D. (PRESIDENT)
(618) 277-1130
Entity
Organization

Contact information

Practice address
3990 N ILLINOIS ST, SWANSEA, IL 62226-1919
(618) 277-1130
(618) 277-4917
Mailing address
3990 N ILLINOIS ST, SWANSEA, IL 62226-1919
(618) 277-1130
(618) 277-4917

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7001316
IL

Other

Enumeration date
06/07/2016
Last updated
06/07/2016
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