| NPI | 1386641066 |
|---|---|
| Doing Business As | EYES OF ILLINOIS SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSEPH PRAVOOT GIRA VP, Cmo 314-909-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002132) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-04-11 |