Provider Demographics
NPI:1568656650
Name:WESTCHESTER EYE SURGEONS, S.C.
Entity Type:Organization
Organization Name:WESTCHESTER EYE SURGEONS, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SPERO
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-531-1030
Mailing Address - Street 1:10439 W CERMAK RD
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5237
Mailing Address - Country:US
Mailing Address - Phone:708-531-1030
Mailing Address - Fax:708-531-1078
Practice Address - Street 1:10439 W CERMAK RD
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-5237
Practice Address - Country:US
Practice Address - Phone:708-531-1030
Practice Address - Fax:708-531-1078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty