Dupage Retina Associates

LBN: Dupage Eye Associates S.C.
Dupage Retina Associates is an health care organization with primary practice located at 3825 Highland Ave Tower 1 Suite 4 J, Downers Grove IL 60515-1552. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dupage Eye Associates S.C. can be contacted via phone (630) 971-8330, or through Raichand, Motilal via phone (630) 971-8330.

Contact Information

Primary practice address
3825 Highland Ave Tower 1 Suite 4 J Downers Grove IL 60515-1552
Fax: (630) 971-2338
Website:
Authorized official contact:
Name: Raichand, Motilal Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036056099 Illinois

Profile Details

NPI number 1932210887
LBN Legal business name Dupage Eye Associates S.C.
DBA Doing business as Dupage Retina Associates
Authorized official Raichand, Motilal Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated May 17th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932210887 NPPES
Illinois MEDICAID 345601745
Illinois MEDICAID 358724500

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