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Organization
CHICAGO OPHTHALMOLOGY, P.C.
Active
Organization
CHICAGO OPHTHALMOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY STEVEN DOREN M.D. (PRESIDENT)
(773) 935-2800
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, SUITE 501, CHICAGO, IL 60657-5188
(773) 935-2800
(773) 935-2861
Mailing address
3000 N HALSTED ST, SUITE 501, CHICAGO, IL 60657-5188
(773) 935-2800
(773) 935-2861
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000001274
FAMILY MEDICAL NETWORK ID
IL
01
—
01620224
BCBS ID NUMBER
IL
01
—
146050551101
HUMANA ID #
IL
01
—
5237392
AETNA ID #
IL
01
—
P00266736
RAILROAD MEDICARE ID #
IL
Enumeration date
03/31/2007
Last updated
08/22/2020
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