The Retina Center
LBN: Illinois Retina Associates Pllc
The Retina Center is an health care organization with primary practice located at 71 W 156Th St Ste 400, Harvey IL 60426-4265. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty.
Illinois Retina Associates Pllc can be contacted via phone (708) 596-8710, or through Frederick, Mary via phone (708) 915-6963.
Contact Information
Primary practice address
71 W 156Th St Ste 400
Harvey IL 60426-4265
Phone: (708) 596-8710
Fax: (708) 596-9820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036113707 | Illinois |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X |
Profile Details
| NPI number | 1225038870 |
|---|---|
| LBN Legal business name | Illinois Retina Associates Pllc |
| DBA Doing business as | The Retina Center |
| Authorized official | Frederick, Mary |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Dec 9th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225038870 | NPPES |
| Indiana | Other | CN0205 | RAILROAD MEDICARE |
| Indiana | Other | CN1137 | RAILROAD MEDICARE |
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