| |
950 N York Rd Ste 203, Hinsdale, IL 60521-8609 | |
(830) 789-6700 | |
(630) 789-3909 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 950 N York Rd Ste 203, Hinsdale, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104324938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1630 Gateway Dr, Sycamore, IL 60178-3182 Ph: (815) 756-8571 | 950 N York Rd Ste 203, Hinsdale, IL 60521-8609 Ph: (830) 789-6700 |