Evaristus Udoisa

LBN: Metro Eye Care
Evaristus Udoisa is an health care organization with primary practice located at 326 W 64Th St , Chicago IL 60621-3114. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Metro Eye Care can be contacted via phone (630) 790-2929, or through Udoisa, Evaristus via phone (630) 790-2929.

Contact Information

Primary practice address
326 W 64Th St Chicago IL 60621-3114
Phone: (630) 790-2929
Fax: (630) 790-2930
Website:
Map and Directions
Authorized official contact:
Name: Udoisa, Evaristus Doctor of Medicine (MD)
Phone: (630) 790-2929

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0360658588 Illinois

Profile Details

NPI number 1578738670
LBN Legal business name Metro Eye Care
DBA Doing business as Evaristus Udoisa
Authorized official Udoisa, Evaristus Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 16 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 1578738670 NPPES
Illinois MEDICAID 0360658588

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