REITNA INSTITUTE OF ILLINOIS NPI 1790211381

NPI Information

NPI: 1790211381
Provider Name: REITNA INSTITUTE OF ILLINOIS
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
8780 W GOLF RD
STE 304
NILES, IL
ZIP 60714
Phone: (847) 297-8900
Get Directions

REITNA INSTITUTE OF ILLINOIS is a retina specialist ophthalmology in Niles, IL. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. REITNA INSTITUTE OF ILLINOIS NPI is 1790211381. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8780 W GOLF RD
STE 304
NILES, IL
ZIP 60714-602
Phone: (847) 297-8900

The provider's authorized official is Jackie Benacka .
The authorized official title is Practice Admin and has the following contact phone number (847) 297-8900.

The enumeration date for this NPI number is 5/3/2017 and was last updated on 5/3/2017.

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
1	207WX0107X	Ophthalmology	Retina Specialist	036088212	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	002719700	MEDICARE UPIN	ILLINOIS
2	790730006	MEDICARE UPIN	ILLINOIS
3	F23293	MEDICARE UPIN	ILLINOIS
4	F400098564	MEDICARE UPIN	ILLINOIS

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

NPI Synchronization or Removal

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