# NORTHWEST EYE PHYSICIANS, LTD

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

## Provider details

- **NPI number:** 1528255627
- **Authorized official:** JILL R BASS (ADMINISTRATOR)
- **Authorized official phone:** (847) 392-9220

## Contact information

- **Practice address:** 1588 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-3906
- **Practice address phone:** (847) 392-9220
- **Practice address fax:** (847) 392-9252
- **Mailing address:** 1588 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-3906
- **Mailing address phone:** (847) 392-9220
- **Mailing address fax:** (847) 392-9252

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2007
- **Last updated:** 10/10/2024

## 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 |