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Organization

GOREN EYE ASSOCIATES, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW BRENT GOREN MD (PRESIDENT)
(312) 332-2262
Entity
Organization

Contact information

Practice address
180 N STETSON AVE, SUITE 3175, CHICAGO, IL 60601-6710
(312) 332-2262
Mailing address
180 N STETSON AVE, SUITE 3175, CHICAGO, IL 60601-6710
(312) 332-2262

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
IL

Other

Enumeration date
08/08/2007
Last updated
08/08/2007
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