Organization
EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P JONES MD (PRESIDENT)
(618) 277-1130
Entity
Organization
Contact information
Practice address
3990 N ILLINOIS ST, BELLEVILLE, IL 62226
(618) 277-1130
(618) 948-7624
Mailing address
3990 N ILLINOIS ST, LOWER LEVEL, BELLEVILLE, IL 62226-1919
(618) 277-1130
(618) 948-7624
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7001316
IL
Other
Enumeration date
06/14/2006
Last updated
09/23/2016
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