Illinois Retina Surgery Ltd

NPI 1255374559 - Technician/Technologist - 156FX1100X

NPI Details
NPI 1255374559
Enumeration Date 06/14/2006
Last Updated 12/19/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS N THOMAS
Position OWNER
Phone (618) 277-1130
Fax (618) 277-6651
Practice Location
3990 N ILLINOIS ST
SWANSEA IL, 62226-1919, US
Phone (618) 277-1130
Fax (618) 277-6651
Business Location
3990 N ILLINOIS ST
SWANSEA IL, 62226-1919, US
Phone (618) 277-1130
Fax (618) 277-6651
Toxanomy
Taxonomy Code 156FX1100X
License State
License Number
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According to our database, Illinois Retina Surgery Ltd NPI is 1255374559, taxonomy code is 156FX1100X Illinois Retina Surgery Ltd physically located at 3990 N Illinois St, Swansea IL, 62226-1919. NPI Number 1033115704 has the healthcare provider type.

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1255374559 NPI number is provided on an as is basis without warranty of any kind. 1255374559 is maintained by the National Plan & Provider Enumeration System. The contents of Illinois Retina Surgery Ltd are for informational purposes only.