Benjamin Hendrick Ticho in Chicago Ridge - Pediatric Ophthalmology And Strabismus Specialist
Benjamin Hendrick Ticho - NPI 1992782494
Benjamin Hendrick Ticho is a Pediatric Ophthalmology And Strabismus Specialist in Chicago Ridge, Illinois. Benjamin Hendrick Ticho practices all healthcare services and medical treatments related to Pediatric Ophthalmology And Strabismus Specialist. The NPI Number for Benjamin Hendrick Ticho is 1992782494. The last update date is 2020-04-23.
Benjamin Hendrick Ticho's current location address is 10436 Southwest Hwy Ste 1, Chicago Ridge, Illinois. You can contact this provider via phone number 7089520109 and fax number 7089520329. The mailing address for Benjamin Hendrick Ticho is 10436 Southwest Hwy Ste 1, Chicago Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Hendrick Ticho |
|---|---|
| Address | 10436 Southwest Hwy Ste 1, Chicago Ridge, Illinois |
| Phone Number | 7089520109 |
| Fax Number | 7089520329 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992782494 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2020-04-23 |
Provider Mailing Address Detail
| Address | 10436 Southwest Hwy Ste 1 |
|---|---|
| City | Chicago Ridge |
| State | Illinois (IL) |
| Post Code | 604152284 |
| Phone Number | 7089520109 |
| Fax Number | 7089520329 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Ophthalmology And Strabismus Specialist |
|---|---|
| Taxonomy | 207Wx0110X |
| Licence No | 36082457 |
|
Definition: An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1621679 | IL | BC/BS OF ILLINOIS | |
| 205786 | IL | PTAN MEDICARE DUPAGE COUNTY IL | |
| 253350 | IN | MEDICARE GROUP LEGACY LPI: 253 | |
| 36082457 | IL | -- | |
| 205785 | IL | PTAN MEDICARE COOK COUNTY IL | |
| M400068419 | IN | MEDICARE INDIVIDUAL PIN/PTAN: | |
| 10601008 | IN | CAQH | |
| 1083684922 | GROUP NPI | ||
| 200155690 | IN | INDIVIDUAL LEGACY PROVIDER | |
| 200155690 | IN | INDIANA MEDICAID |
Post Comment/ Review Below
What is the unique identification code assigned to Benjamin Hendrick Ticho by the Centers for Medicare & Medicaid Services?
The Benjamin Hendrick Ticho has been issued the NPI (National Provider Identifier) 1992782494. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Benjamin Hendrick Ticho is located?
The Benjamin Hendrick Ticho is situated at the following address: 10436 Southwest Hwy Ste 1, Chicago Ridge, IL, 604152284.
What is Benjamin Hendrick Ticho's area of expertise and its corresponding taxonomy classification?
The Benjamin Hendrick Ticho's field of specialization is Pediatric Ophthalmology And Strabismus Specialist, and it falls under the taxonomy code 207Wx0110X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1992782494 assigned to Benjamin Hendrick Ticho?
The Benjamin Hendrick Ticho was issued its 1992782494 on 2005-12-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Benjamin Hendrick Ticho last refreshed?
The information related to the Benjamin Hendrick Ticho, including its address, specialty, and other relevant details, was last updated on 2020-04-23.
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