Organization
EYE SURGERY CENTER, LTD.
Active
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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