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NORTHWESTERN LASER VISION LLC NPI 1255544995


NPI Information

NPI: 1255544995
Provider Name: NORTHWESTERN LASER VISION, LLC

Doing Business As: TLC CHICAGO NORTHWESTERN

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
675 N SAINT CLAIR ST
SUITE 15
CHICAGO, IL
ZIP 60611
Phone: (312) 695-2737
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NORTHWESTERN LASER VISION, LLC is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NORTHWESTERN LASER VISION, LLC NPI is 1255544995. The provider is registered as an organization entity type.
The provider Is Doing Business As Tlc Chicago Northwestern.

The provider's business location address is:

675 N SAINT CLAIR ST
SUITE 15
CHICAGO, IL
ZIP 60611-975
Phone: (312) 695-2737

The provider's authorized official is Brian L Andrew .
The authorized official title is Secretary and has the following contact phone number (636) 534-2300.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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: 4/28/2024

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