<Unavail>

LBN: Illinois Retina Associates Pllc
<Unavail> is an health care organization with primary practice located at 11516 183Rd Pl Ste Sw , Orland Park IL 60467-9471. 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) 877-1300, or through Frederick, Mary via phone (708) 915-6963.

Contact Information

Primary practice address
11516 183Rd Pl Ste Sw Orland Park IL 60467-9471
Fax:
Website:
Authorized official contact:
Name: Frederick, Mary

Health care specialties

SpecialtyCodeLicense #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 <Unavail>
Authorized official Frederick, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Feb 4th, 2026 - about 9 months 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 1225038870 NPPES
Indiana Other CN0205 RAILROAD MEDICARE
Indiana Other CN1137 RAILROAD MEDICARE

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