DUPAGE EYE SURGERY CENTER, LLC (NPI# 1801811773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801811773 |
Entity Type | Organization |
Organization Name | DUPAGE EYE SURGERY CENTER, LLC |
Practice Address |
2015 N Main St Wheaton IL 60187-3152 |
Practice Telephone | 6306653690 |
Practice Fax Number | 6306653686 |
Mailing Telephone | 6306653690 |
Mailing Fax Number | 6306653686 |
Enumeration Date | 2006-07-13 |
Last Update Date | 2016-03-10 |
Authorized Official Name | DR. CHARLES SANDOR (MEMBER) |
Authorized Official Telephone | 6306653690 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
========= | IL | Ambulatory Health Care Facilities |
Street Address |
2015 N MAIN ST |
City | WHEATON |
State | IL |
Zip Code | 60187-3152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801883004 | Wheaton Eye Clinic Ltd. | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2005-10-03 |
1396123048 | Nathaniel Erick Mcintyre | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2015-05-14 |
1477972412 | Krishna B Patel | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3190 | 2014-04-07 |
1932531407 | Mei Zhou | Ophthalmology | 2015 N Main St, Wheaton, IL 60187 | 2013-08-06 |
1326480385 | Siya Huo | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2013-07-18 |
1265796585 | Michelle Marie Kron-gray | Anesthesiology | 2015 N Main St, Wheaton, IL 60187-3152 | 2012-07-02 |
1285917377 | Huizi Yin | Optometrist | 2015 N Main St, Wheaton, IL 60187-3190 | 2011-09-24 |
1508146788 | Alan S Jin | Optometrist | 2015 N Main St, Wheaton, IL 60187-3152 | 2011-08-19 |
1952689705 | Timothy John Kietzman | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2011-07-28 |
1083909998 | Michael Thomas Andreoli | Internal Medicine | 2015 N Main St, Wheaton, IL 60187-3152 | 2011-06-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
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Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1538647474 | Palos Health Surgery Center, LLC | Clinic/Center | 15300 West Ave Ste 260, Orland Park, IL 60462-4600 | 2018-08-02 |
1013493824 | Ann & Robert H. Lurie Children's Hospital of Chicago | Clinic/Center | 1121 Techny Rd, Northbrook, IL 60062-5503 | 2018-07-15 |
1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.