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FAGMAN EYE SURGERY ASSOC NPI 1164604427


NPI Information

NPI: 1164604427
Provider Name: FAGMAN EYE SURGERY ASSOC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
120 E COUNTRYSIDE PKWY
YORKVILLE, IL
ZIP 60560
Phone: (630) 553-6166
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FAGMAN EYE SURGERY ASSOC is a specialist in Yorkville, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FAGMAN EYE SURGERY ASSOC NPI is 1164604427. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 E COUNTRYSIDE PKWY
YORKVILLE, IL
ZIP 60560-877
Phone: (630) 553-6166
Fax: (630) 553-6178

The provider's authorized official is Mary E Melick .
The authorized official title is Office Manager and has the following contact phone number (630) 553-6166.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 11/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1211066MEDICARE PINILLINOIS
2C38820MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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