West Suburban Eye Center, S.c.

NPI 1619936358 - Ophthalmology - 207W00000X

NPI Details
NPI 1619936358
Enumeration Date 03/21/2006
Last Updated 10/04/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PRAKASH PRAKASH
Position PRESIDENT
Phone (630) 759-9800
Fax (630) 759-9858
Practice Location
396 REMINGTON BLVD.
SUITE 340
BOLINGBROOK IL, 60440-3442, US
Phone (630) 759-9800
Fax (630) 759-9858
Business Location
396 REMINGTON BLVD.
SUITE 340
BOLINGBROOK IL, 60440-3442, US
Phone (630) 759-9800
Fax (630) 759-9858
Toxanomy
Taxonomy Code 207W00000X
License State Illinois
License Number 036095872
Remove 1619936358 NPI Number
 

According to our database, West Suburban Eye Center, S.c. NPI is 1619936358, taxonomy code is 207W00000X and license number is 036095872, license state is located at Illinois. West Suburban Eye Center, S.c. physically located at 396 Remington Blvd., Bolingbrook IL, 60440-3442. NPI Number 1033115704 has the healthcare provider type.

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1619936358 NPI number is provided on an as is basis without warranty of any kind. 1619936358 is maintained by the National Plan & Provider Enumeration System. The contents of West Suburban Eye Center, S.c. are for informational purposes only.