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NORTHERN ILLINOIS EYE CLINIC LLC NPI 1033487954


NPI Information

NPI: 1033487954
Provider Name: NORTHERN ILLINOIS EYE CLINIC LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 14D2238220

Address:
333 E IL ROUTE 83
106
MUNDELEIN, IL
ZIP 60060
Phone: (847) 566-5300
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NORTHERN ILLINOIS EYE CLINIC LLC is an ophthalmology in Mundelein, IL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. NORTHERN ILLINOIS EYE CLINIC LLC NPI is 1033487954. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 E IL ROUTE 83
106
MUNDELEIN, IL
ZIP 60060-214
Phone: (847) 566-5300

The provider's authorized official is Emily Velotta .
The authorized official title is President and has the following contact phone number (847) 668-5109.

The CLIA number assigned to this NPI record is 14D2238220 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 12/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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