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Contact Information

BENJAMIN H TICHO, MD
10436 SOUTHWEST HIGHWAY
CHICAGO RIDGE, IL60415-2282
 Phone: 708-423-4070
 Fax: 708-423-4216
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometric Technician

156FX1202X
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for BENJAMIN H TICHO · (Male)

NPI # 1992782494
Status Active
Credentials MD
Entity Individual
Enumeration date 12/27/2005
Last updated 04/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036082457
  • IN License # 01070796A
  • IL Medicaid 036082457
  • Other 1083684922 GROUP NPI
  • IL Other 01621679 BC/BS OF ILLINOIS
  • IL Other 10601008 CAQH
  • IL Other 180046211 MEDICARE RAILROAD
  • IL Other 205785 PTAN MEDICARE COOK COUNTY IL
  • IL Other 205786 PTAN MEDICARE DUPAGE COUNTY IL
  • IN Other 10601008 CAQH
  • IN Other 200155690 INDIANA MEDICAID
  • IN Other 200155690 INDIVIDUAL LEGACY PROVIDER
  • IN Other 253350 MEDICARE GROUP LEGACY LPI: 253350
  • IN Other M400068419 MEDICARE INDIVIDUAL PIN/PTAN: M400068419
Hospital affiliation(s)
  • COMMUNITY HOSPITAL - (Acute Care)
    901 MACARTHUR BLVD
    MUNSTER, IN 46321
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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