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Contact Information

EYE SPECIALIST GROUP, LLC
4400 W 95TH ST STE 312
OAK LAWN, IL60453-2660
 Phone: 708-307-0217
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EYE SPECIALIST GROUP, LLC

NPI # 1669945440
LBN Legal business name EYE SPECIALIST GROUP, LLC
Authorized official CARRIE VIOLETTO - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2019
Last updated 01/04/2019 - About 7 years ago
Identifiers
IL Other 036066839 PHYSICIAN LICENSE
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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