Ophthalmology Consultants of Illinois, S.c.

NPI #1467940254 in Chicago, Illinois

Provider Information

NPI Number
1467940254
Entity Type
Organization
Organization Name
Ophthalmology Consultants of Illinois, S.c.
Subpart
Yes (part of a larger organization)
Parent Organization
OPHTHALMOLOGY CONSULTANTS OF IL, SC
Primary Specialty
Ophthalmology
Enumeration Date
Apr 26, 2018
Last Updated
Apr 26, 2018

Practice Location

Address
7001 W ARCHER AVE
ZIP Code
60638-2201
Phone
(773) 229-8818

Authorized Official

Name
BABU NARAYAN PONAKALA, MD
Title
OWNER
Phone
(630) 964-9800

Specialties & Taxonomy Codes

Specialty
Optometrist
Ophthalmology

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