ILLINOIS RETINA ASSOCIATES, S.C.


Address: 71 W 156th St Ste 400, Harvey, IL 60426-4265
Phone: 7085968710

ILLINOIS RETINA ASSOCIATES, S.C. (NPI# 1750765012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750765012
Entity Type Organization
Organization Name ILLINOIS RETINA ASSOCIATES, S.C.
Practice Address 71 W 156th St Ste 400
Harvey
IL 60426-4265
Practice Telephone 7085968710
Enumeration Date 2015-07-16
Last Update Date 2017-11-15
Authorized Official Name MARY FREDERICK (BILLING MANAGER)
Authorized Official Telephone 7089156963
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QS0132X Clinic/Center
Specialization: Ophthalmologic Surgery
Ambulatory Health Care Facilities
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 71 W 156TH ST STE 400
City HARVEY
State IL
Zip Code 60426-4265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023472560 Chirag Shah Ophthalmology 71 W 156th St Ste 400, Harvey, IL 60426-4265 2016-04-11

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NPI Name Taxonomy Address Enumeration
1295377471 Carol E Gillett Technician 14607 Jefferson St., Harvey, IL 60426 2019-10-09
1356866479 Zzm Investments Inc Non-emergency Medical Transport (VAN) 16429 Halsted St, Harvey, IL 60426 2017-08-09
1639628225 Scottlab, Ltd. Clinical Medical Laboratory 71 W 156th St Ste 206a, Harvey, IL 60426 2016-09-24
1043608631 Yvette M. Johnson Nurse Practitioner 31 W. 155th Street, Harvey, IL 60426 2015-01-05
1558665539 Phillip T Robinson Contractor 16001 Marshfield St, Harvey, IL 60426 2011-01-05
1669657466 South Shore Behavioral Consultants Counselor 369 East 147th Street Suite E, Harvey, IL 60426 2007-12-31
1770784670 County of Cook Harvey Public School District 152 Local Education Agency (LEA) 152nd Myrtle St, Harvey, IL 60426 2007-05-29
1518180678 Associated Medical Center Sc Family Medicine 15900 So Carol Avenue, Harvey, IL 60426 2007-04-10
1336269133 Cook County Clinic/Center 650 E Phoenix Center Dr, Phoenix, IL 60426 2007-03-29
1932243433 Michael T Jones Dmd Ltd Dentist 15335 Page Ave, Harvey, IL 60426 2007-02-16
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255515870 Access Vans of Louisiana-new Orleans, LLC Clinic/Center 1901 Westbank Expy, Suite 500, Harvey, LA 70058-4366 2007-12-18
1235312927 Access Vans of Louisiana-new Orleans, LLC Clinic/Center 1901 Westbank Expy, Suite 500, Harvey, LA 70058-4366 2007-12-17

Providers in the same taxonomy and state

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1295351062 Sara M Gotheridge Md LLC Clinic/Center 630 Davis St Ste 301, Evanston, IL 60201-4480 2020-06-17
1407484645 Macumber Medical Ltd Clinic/Center 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 2020-04-01
1477181782 Embassy Studios North Clinic/Center 6455 N Cicero Ave, Lincolnwood, IL 60712-3407 2020-03-31
1689226318 Midway Spine and Joint Pain Physicians Clinic/Center 5720 S Pulaski Rd, Chicago, IL 60629-4435 2019-07-12
1215598891 Vero Clinics Clinic/Center 1192 E Pershing Rd, Decatur, IL 62526-4753 2019-06-25
1497215933 Activate Healthcare Clinic/Center 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 2019-03-21
1033699467 Healthpointe Medical Center Sc Clinic/Center 530 Fullerton Rd Ste B, Swansea, IL 62226-2970 2018-08-15
1740794882 Highland Park Cvs, L.L.C. Clinic/Center 72 Airport Plz, Bethalto, IL 62010-1774 2017-11-28
1447764014 Dr Courtney Drendel Inc Clinic/Center 515 Hamilton St # 100, Geneva, IL 60134-2138 2017-11-19
1699206599 David M Conner M.d. Clinic/Center 9 Executive Woods Ct Ste 2, Swansea, IL 62226-2016 2017-03-22
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Competitor

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City HARVEY
Zip Code 60426

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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