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NPI Code Detail

MEDICARE: MEDICAL EYE SERVICES, LTD

MEDICARE: MEDICAL EYE SERVICES, 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 PhysicianIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14915051OTHERILBLUE CROSS BLUE SHIELD ID

General Provider Information

NPI Number : 1396749008
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL EYE SERVICES, LTD
Provider Business Mailing Address
First Line : 48 S GREENLEAF ST
Second Line :
City : GURNEE
State : IL
Zip : 60031-3300
Country : US
Telephone Number : 847-662-4016
Fax Number : 847-662-4174
Provider Business Practice Location Address
First Line : 48 S GREENLEAF ST
Second Line :
City : GURNEE
State : IL
Zip : 60031-3300
Country : US
Telephone Number : 847-662-4016
Fax Number : 847-662-4174
Authorized Official
Title or Position : INSURANCE COORDINATOR
Name : MRS. SYLVIA M HOSKINS
Credential :
Telephone Number : 847-662-4016
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/21/2022

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Directions to “MEDICAL EYE SERVICES, LTD ” Practice Location

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