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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

NPI Number 1619129491
LBN Legal business name CHICAGO RETINA, INCORPORATED
Authorized official CAROL MENNER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2008
Last updated 10/11/2008 - About 18 years ago
Identifiers
IL License # 036097549
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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