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Contact Information

CHICAGO RETINA, INCORPORATED
1182 N MILWAUKEE AVE
STOREFRONT
CHICAGO, IL60642-4007
 Phone: 773-394-6990
 Fax: 773-394-6993
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CHICAGO RETINA INCORPORATED · (Female)

NPI # 1619129491
Status Active
Credentials
Entity Individual
Enumeration date 10/11/2008
Last updated 10/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036097549
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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