Eye Surgical Associates Sc

NPI 1396771002 - Ophthalmology - 207W00000X

NPI Details
NPI 1396771002
Enumeration Date 06/24/2006
Last Updated 04/28/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EDWARD L EDWARD
Position DOCTOR
Phone (309) 662-7700
Fax (309) 662-0829
Practice Location
1505 EASTLAND DR
SUITE 2200
BLOOMINGTON IL, 61701-3534, US
Phone (309) 662-7700
Fax (309) 662-0829
Business Location
1505 EASTLAND DR
SUITE 2200
BLOOMINGTON IL, 61701-3534, US
Phone (309) 662-7700
Fax (309) 662-0829
Toxanomy
Taxonomy Code 207W00000X
License State Illinois
License Number 042006101
Remove 1396771002 NPI Number
 

According to our database, Eye Surgical Associates Sc NPI is 1396771002, taxonomy code is 207W00000X and license number is 042006101, license state is located at Illinois. Eye Surgical Associates Sc physically located at 1505 Eastland Dr, Bloomington IL, 61701-3534. NPI Number 1033115704 has the healthcare provider type.

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1396771002 NPI number is provided on an as is basis without warranty of any kind. 1396771002 is maintained by the National Plan & Provider Enumeration System. The contents of Eye Surgical Associates Sc are for informational purposes only.