Organization
SUBURBAN MEDICAL AESTHETICS, PLLC
Active
Parent organization
SUBURBAN EYES CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUBURBAN EYES CLINIC, LLC
Authorized official
DR. PHILLIP C. WU M.D. (PHYSICIAN OWNER)
(847) 424-1100
Entity
Organization
Contact information
Practice address
500 DAVIS ST STE 810, EVANSTON, IL 60201-4655
(847) 424-1100
(847) 448-0201
Mailing address
500 DAVIS ST STE 810, EVANSTON, IL 60201-4655
(847) 424-1100
(847) 448-0201
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0120X
Cornea and External Diseases Specialist Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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