Illinois Retina Associates, S.C.

LBN: Illinois Retina Associates, S.C.
Illinois Retina Associates, S.C. is an health care organization with primary practice located at 71 W 156Th St Ste 400 , Harvey IL 60426-4265. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Ophthalmologic Surgery. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Illinois Retina Associates, S.C. 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:
Website:
Map and Directions
Authorized official contact:
Name: Frederick, Mary
Phone: (708) 915-6963

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X

Profile Details

NPI number 1750765012
LBN Legal business name Illinois Retina Associates, S.C.
DBA Doing business as
Authorized official Frederick, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2015
Last updated Nov 15th, 2017 - about 8 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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