Provider Demographics
NPI:1043198237
Name:EAGLE EYE HEALTHCARE SOLUTIONS
Entity type:Organization
Organization Name:EAGLE EYE HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU-ANSAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:630-360-7934
Mailing Address - Street 1:1522 GLENSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5492
Mailing Address - Country:US
Mailing Address - Phone:630-360-7934
Mailing Address - Fax:
Practice Address - Street 1:235 REMINGTON BLVD STE G3
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-3686
Practice Address - Country:US
Practice Address - Phone:630-470-5221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center