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Contact Information

OPHTHALMIC CONSULTANTS OF CHICAGO, LLC
1220 W HIGGINS RD
STE 102
HOFFMAN ESTATES, IL60169
 Phone: 847-755-9393
 Fax: 847-755-1560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for OPHTHALMIC CONSULTANTS OF CHICAGO, LLC

NPI # 1720365661
LBN Legal business name OPHTHALMIC CONSULTANTS OF CHICAGO, LLC
Authorized official ROBERT MACK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2011
Last updated 09/18/2012 - About 14 years ago
Identifiers
IL License # 036090403
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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