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NPI Code Detail

MEDICARE: WHEATON EYE CLINIC LTD

MEDICARE: WHEATON EYE CLINIC LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1952579914
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHEATON EYE CLINIC LTD
Provider Business Mailing Address
First Line : 2015 N MAIN ST
Second Line :
City : WHEATON
State : IL
Zip : 60187-3152
Country : US
Telephone Number : 630-668-8250
Fax Number : 630-668-9561
Provider Business Practice Location Address
First Line : 24024 BRANCASTER DR
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-8044
Country : US
Telephone Number : 630-668-8250
Fax Number : 630-668-8916
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : MS. ESMERALDA CASTILLO
Credential :
Telephone Number : 630-588-3630
Provider Enumeration Date : 02/13/2008
Last Update Date : 03/11/2026

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Directions to “WHEATON EYE CLINIC LTD ” Practice Location

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