Provider Demographics
NPI:1689986366
Name:SIGLER FAMILY EYE CARE LLC
Entity Type:Organization
Organization Name:SIGLER FAMILY EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-577-5400
Mailing Address - Street 1:24023 W LOCKPORT ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-1652
Mailing Address - Country:US
Mailing Address - Phone:815-577-5400
Mailing Address - Fax:815-577-5457
Practice Address - Street 1:24023 W LOCKPORT ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-1652
Practice Address - Country:US
Practice Address - Phone:815-577-5400
Practice Address - Fax:815-577-5457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046009279152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty