# THOMAS J CONTI MD DBA ILLINOIS OCULOPLASTIC ASSOCIATES SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114105764
- **Authorized official:** THOMAS J CONTI MD (PRESIDENT)
- **Authorized official phone:** (708) 444-7200

## Contact information

- **Practice address:** 16650 HARLEM AVE, TINLEY PARK, IL 60477-1847
- **Practice address phone:** (708) 444-7200
- **Practice address fax:** (708) 444-7233
- **Mailing address:** PO BOX 459, MATTESON, IL 60443-0459
- **Mailing address phone:** (708) 747-5850
- **Mailing address fax:** (708) 747-9991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036108776 | IL | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 11/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036108776 | — | IL |