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Contact Information

EYES OF GRACE SC
9669 KENTON AVE STE 409
SKOKIE, IL60076-1267
 Phone: 847-933-0800
 Fax: 855-329-4224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EYES OF GRACE SC

NPI Number 1043225535
LBN Legal business name EYES OF GRACE SC
Authorized official GRACE BAI - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2006
Last updated 11/12/2019 - About 7 years ago
Identifiers
IL Medicaid 036103366
IL Other 01633731 BS OF IL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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