Retina Associates Ltd in Elmhurst - Specialist
Retina Associates Ltd - NPI 1629067673
Retina Associates Ltd is a Specialist in Elmhurst, Illinois. Retina Associates Ltd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Retina Associates Ltd is 1629067673. The last update date is 2022-09-29.
Retina Associates Ltd's current location address is 133 E Brush Hill Rd Ste 300, Elmhurst, Illinois. You can contact this provider via phone number 6305711501 and fax number 6305715679. The mailing address for Retina Associates Ltd is 133 E Brush Hill Rd Ste 300, Elmhurst, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Retina Associates Ltd |
|---|---|
| Address | 133 E Brush Hill Rd Ste 300, Elmhurst, Illinois |
| Phone Number | 6305711501 |
| Fax Number | 6305715679 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Resnick I Kenneth |
| Credentials | M.D. |
| Telephone Number | 6305711501 |
NPI Number Detail
| NPI Number | 1629067673 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2022-09-29 |
Provider Mailing Address Detail
| Address | 133 E Brush Hill Rd Ste 300 |
|---|---|
| City | Elmhurst |
| State | Illinois (IL) |
| Post Code | 601265659 |
| Phone Number | 6305711501 |
| Fax Number | 6305715679 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 60005266 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2201714 | IL | GROUP BCBS OF IL | |
| CD1803 | IL | RR MEDICARE | |
| CM7388 | IL | RR MEDICARE GROUP |
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What is the unique identifier code issued to Retina Associates Ltd by the Centers for Medicare & Medicaid Services?
The Retina Associates Ltd has been assigned the NPI (National Provider Identifier) 1629067673. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Retina Associates Ltd located?
The Retina Associates Ltd is located at 133 E Brush Hill Rd Ste 300, Elmhurst, IL 601265659.
What is the area of specialization for Retina Associates Ltd, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Retina Associates Ltd is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Retina Associates Ltd receive its 1629067673 assignment from the Centers for Medicare & Medicaid Services?
The Retina Associates Ltd was assigned its 1629067673 by the Centers for Medicare & Medicaid Services on 2005-10-20.
As of what date were the details pertaining to Retina Associates Ltd last refreshed?
The information related to the Retina Associates Ltd, including its address, specialty, and other relevant details, was last updated on 2022-09-29.