Organization
DUPAGE EYE ASSOCIATES S.C.
Active
Other names
DUPAGE RETINA ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOTILAL RAICHAND M.D. (M.D.)
(630) 971-8330
Entity
Organization
Contact information
Practice address
3825 HIGHLAND AVE, TOWER 1 SUITE 4 J, DOWNERS GROVE, IL 60515-1552
(630) 971-8330
(630) 971-2338
Mailing address
3825 HIGHLAND AVE, TOWER 1 SUITE 4 J, DOWNERS GROVE, IL 60515-1552
(630) 971-8330
(630) 971-2338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036056099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345601745
—
IL
05
—
358724500
—
IL
Enumeration date
08/31/2006
Last updated
05/17/2012
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