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Contact Information

EYE SPECIALIST GROUP, LLC
4400 W 95TH ST STE 312
OAK LAWN, IL60453-2660
 Phone: 708-307-0217
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EYE SPECIALIST GROUP LLC · (Female)

NPI Number 1669945440
Status Active
Credentials
Entity Individual
Enumeration date 01/04/2019
Last updated 01/04/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Other 036066839 PHYSICIAN LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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