Eye Specialist Group, Llc

LBN: Eye Specialist Group, Llc
Eye Specialist Group, Llc is an health care organization with primary practice located at 4400 W 95Th St Ste 312 , Oak Lawn IL 60453-2660. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Eye Specialist Group, Llc can be contacted via phone (708) 307-0217, or through Violetto, Carrie via phone (708) 307-0217.

Contact Information

Primary practice address
4400 W 95Th St Ste 312 Oak Lawn IL 60453-2660
Phone: (708) 307-0217
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Violetto, Carrie
Phone: (708) 307-0217

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1669945440
LBN Legal business name Eye Specialist Group, Llc
DBA Doing business as
Authorized official Violetto, Carrie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2019
Last updated Jan 4th, 2019 - about 5 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 1669945440 NPPES
Illinois Other 036066839 PHYSICIAN LICENSE

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