Chicago Retina, Incorporated

NPI #1619129491 in Chicago, Illinois

Provider Information

NPI Number
1619129491
Entity Type
Organization
Organization Name
Chicago Retina, Incorporated
Primary Specialty
Ophthalmology
Enumeration Date
Oct 11, 2008
Last Updated
Oct 11, 2008

Practice Location

Address
1182 N MILWAUKEE AVE
Address 2
STOREFRONT
ZIP Code
60642-4007
Phone
(773) 394-6990

Authorized Official

Name
DR. CAROL A MENNER, M.D.
Title
PRESIDENT
Phone
(773) 394-6990

Specialties & Taxonomy Codes

Specialty
Ophthalmology

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