Provider Demographics
NPI:1033250436
Name:THE EYE & FACIAL CLINIC
Entity Type:Organization
Organization Name:THE EYE & FACIAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-836-1616
Mailing Address - Street 1:28375 DAVIS PKWY
Mailing Address - Street 2:SUITE 905
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-3030
Mailing Address - Country:US
Mailing Address - Phone:630-836-1616
Mailing Address - Fax:
Practice Address - Street 1:28375 DAVIS PKWY
Practice Address - Street 2:SUITE 905
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-3030
Practice Address - Country:US
Practice Address - Phone:630-836-1616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty