| NPI | 1588647101 |
|---|---|
| Doing Business As | WHEATON EYE CLINIC |
| Other Name | WHEATON OPTICAL DEPARTMENT |
| Entity Type | Organization |
| Authorized Contact | LISA WHITE Credentialing Specialist 630-588-3630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2024-09-24 |