# OPHTHALMOLOGY CONSULTANTS OF ILLINOIS, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OPHTHALMOLOGY CONSULTANTS OF IL, SC
- **Other names:** Archer Eye Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467940254
- **Legal business name:** OPHTHALMOLOGY CONSULTANTS OF IL, SC
- **Authorized official:** BABU NARAYAN PONAKALA MD (OWNER)
- **Authorized official phone:** (630) 964-9800

## Contact information

- **Practice address:** 7001 W ARCHER AVE, CHICAGO, IL 60638-2201
- **Practice address phone:** (773) 229-8818
- **Practice address fax:** (773) 229-8423
- **Mailing address:** 409 W OGDEN AVE, WESTMONT, IL 60559-1421
- **Mailing address phone:** (309) 649-8006
- **Mailing address fax:** (888) 598-6004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2018
- **Last updated:** 04/26/2018