Retina Vitreous Associates, Pc in Oak Lawn - Specialist
Retina Vitreous Associates, Pc - NPI 1194711655
Retina Vitreous Associates, Pc is a Specialist in Oak Lawn, Illinois. Retina Vitreous Associates, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Retina Vitreous Associates, Pc is 1194711655. The last update date is 2014-10-28.
Retina Vitreous Associates, Pc's current location address is 4930 W 95th St, Oak Lawn, Illinois. You can contact this provider via phone number 7084248855. The mailing address for Retina Vitreous Associates, Pc is 4930 W 95th St, Oak Lawn, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Retina Vitreous Associates, Pc |
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Address | 4930 W 95th St, Oak Lawn, Illinois |
Phone Number | 7084248855 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Pelzek D Christopher |
Credentials | M.D. |
Telephone Number | 7084248855 |
NPI Number Detail
NPI Number | 1194711655 |
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Provider Enumeration Date | 2005-09-21 |
Last Updated Date | 2014-10-28 |
Provider Mailing Address Detail
Address | 4930 W 95th St |
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City | Oak Lawn |
State | Illinois (IL) |
Post Code | 604532504 |
Phone Number | 7084248855 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
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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What is the unique 10-digit identifier code issued to Retina Vitreous Associates, Pc by the Centers for Medicare & Medicaid Services?
The Retina Vitreous Associates, Pc has been assigned the NPI (National Provider Identifier) 1194711655 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Retina Vitreous Associates, Pc's facilities are geographically located?
The facilities of Retina Vitreous Associates, Pc are physically situated at the following location: 4930 W 95Th St, Oak Lawn, IL, 604532504.
What is the Retina Vitreous Associates, Pc's specialty and taxonomy code?
The Retina Vitreous Associates, Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194711655 to Retina Vitreous Associates, Pc?
The Retina Vitreous Associates, Pc received its 1194711655 assignment from the Centers for Medicare & Medicaid Services on 2005-09-21.
When was the information regarding Retina Vitreous Associates, Pc most recently updated?
The details pertaining to the Retina Vitreous Associates, Pc, including its address, specialty, and other relevant information, were last refreshed on 2014-10-28.