NPI | 1811326630 |
---|---|
Doing Business As | OPHTHALMOLOGY CENTER OF ILLINOIS SC |
Entity Type | Organization |
Authorized Contact | PATRICK BUTLER Md/Owner 217-899-0618 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036089026) |
Enumeration Date | 2013-11-02 |
Last Update Date | 2015-08-04 |