Organization
SUBURBAN EYES CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP WU MD (PARTNER)
(847) 424-1100
Entity
Organization
Contact information
Practice address
500 DAVIS ST, SUITE 810, EVANSTON, IL 60201-4668
(847) 424-1100
(847) 864-6138
Mailing address
500 DAVIS ST, SUITE 810, EVANSTON, IL 60201-4668
(847) 424-1100
(847) 864-6138
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036107379
IL
Other
Enumeration date
12/03/2007
Last updated
07/02/2009
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