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Organization
NORTHWEST EYE PHYSICIANS, LTD
Active
Organization
NORTHWEST EYE PHYSICIANS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL R BASS (ADMINISTRATOR)
(847) 392-9220
Entity
Organization
Contact information
Practice address
1588 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-3906
(847) 392-9220
(847) 392-9252
Mailing address
1588 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-3906
(847) 392-9220
(847) 392-9252
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622540
BCBS
IL
01
—
01633328
IL BCBS
IL
05
—
036037301 1
—
IL
05
—
036048813 1
—
IL
05
—
036098011 1
—
IL
05
—
036102073 2
—
IL
01
—
21600924
BCBS
IL
01
—
21624009
BCBS
IL
01
—
CC2168
RETIRED RAILROAD MEDICARE
IL
Enumeration date
10/02/2007
Last updated
10/10/2024
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