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Contact Information

EYE PHYSICIANS OF KANKAKEE,LTD
372 LARRY POWER RD
SUITE1
BOURBONNAIS, IL60914-5190
 Phone: 815-933-5202
 Fax: 815-933-6531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for EYE PHYSICIANS OF KANKAKEE,LTD

NPI # 1881727741
LBN Legal business name EYE PHYSICIANS OF KANKAKEE,LTD
Authorized official STEVEN BURNS - (OPHTHALMOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2007
Last updated 12/13/2011 - About 14 years ago
Identifiers
IL License # 036103938
IL Medicaid 036103938
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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