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Contact Information

ADVANCED RETINAL INSTITUTE, INC.
7808 W COLLEGE DR
1NW
PALOS HEIGHTS, IL60463-1027
 Phone: 708-499-0123
 Fax: 708-499-0611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ADVANCED RETINAL INSTITUTE INC · (Female)

NPI # 1760666754
Status Active
Credentials
Entity Individual
Enumeration date 12/26/2007
Last updated 07/07/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036111343
  • IL Medicaid 036111343
  • IL Medicaid 217046046
  • IL Other 1760666754 NPI
  • IL Other 216010 PTAN
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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