Healthcare Provider Details

I. General information

NPI: 1699878298
Provider Name (Legal Business Name): DILLMAN EYE CARE ASSOCIATES SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NORTH LOGAN AVENUE
DANVILLE IL
61832-4375
US

IV. Provider business mailing address

600 NORTH LOGAN AVENUE
DANVILLE IL
61832-4375
US

V. Phone/Fax

Practice location:
  • Phone: 217-443-2244
  • Fax: 217-443-2244
Mailing address:
  • Phone: 217-443-2244
  • Fax: 217-443-2244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: DAVID M DILLMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 217-443-2244