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Contact Information

CHICAGO OPHTHALMOLOGY, P.C.
3000 N HALSTED ST
SUITE 501
CHICAGO, IL60657-5188
 Phone: 773-935-2800
 Fax: 773-935-2861
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CHICAGO OPHTHALMOLOGY, P.C.

NPI # 1275653263
LBN Legal business name CHICAGO OPHTHALMOLOGY, P.C.
Authorized official GREGORY DOREN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/31/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL Other 5237392 AETNA ID #
IL Other 01620224 BCBS ID NUMBER
IL Other 0000001274 FAMILY MEDICAL NETWORK ID
IL Other 146050551101 HUMANA ID #
IL Other P00266736 RAILROAD MEDICARE ID #
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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