Organization
WOHL EYE CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA G WOHL MD (PRESIDENT)
(630) 351-2030
Entity
Organization
Contact information
Practice address
303 E ARMY TRAIL RD, SUITE 200, BLOOMINGDALE, IL 60108-2169
(630) 351-2030
(630) 351-3983
Mailing address
303 E ARMY TRAIL RD, SUITE 200, BLOOMINGDALE, IL 60108-2169
(630) 351-2030
(630) 351-3983
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215680
BCBS
IL
05
—
036060734
—
IL
01
—
180012516
RAILROAD MEDICARE
IL
Enumeration date
06/13/2006
Last updated
11/04/2008
Update your record
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