| |
1855 W Taylor St, Chicago, IL 60612-7243 | |
(312) 996-0933 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1855 W Taylor St, Chicago, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720208135 | NPI | - | NPPES |
CA3699 | Other | IL | RAILROAD GROUP |
01615121 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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7732 Solution Center, Chicago, IL 60677-0001 Ph: () - | 1855 W Taylor St, Chicago, IL 60612-7243 Ph: (312) 996-0933 |