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Organization
ILLINOIS RETINA ASSOCIATES PLLC
Active
Organization
ILLINOIS RETINA ASSOCIATES PLLC
Active
Other names
The Retina Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FREDERICK (BILLING MANAGER)
(708) 915-6963
Entity
Organization
Contact information
Practice address
11516 183RD PL STE SW, ORLAND PARK, IL 60467-9471
(708) 877-1300
Mailing address
11516 183RD PL STE SW, ORLAND PARK, IL 60467-9471
(708) 877-1300
(708) 596-8719
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036113707
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
07/26/2005
Last updated
02/04/2026
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