Organization
ILLINOIS EYE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL T. FRICKE (SECRETARY)
(844) 377-6468
Entity
Organization
Contact information
Practice address
1630 GATEWAY DR, SYCAMORE, IL 60178-3182
(815) 756-8571
(815) 756-5603
Mailing address
2727 N HARWOOD ST STE 250, DALLAS, TX 75201-2410
(844) 377-6468
(469) 677-6260
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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