# THE EYE SPECIALISTS CENTER, L.L.C.

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

## Provider details

- **NPI number:** 1699802421
- **Authorized official:** DR. BENJAMIN HENDRICK TICHO M.D. (OWNER/PARTNER/PHYSICIAN)
- **Authorized official phone:** (708) 423-4070

## Contact information

- **Practice address:** 10436 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-2282
- **Practice address phone:** (708) 423-4070
- **Practice address fax:** (708) 423-4216
- **Mailing address:** DEPARTMENT 4684, CAROL STREAM, IL 60122-4684
- **Mailing address phone:** (708) 952-0109
- **Mailing address fax:** (708) 952-0329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1202X | Optometric Technician | — | IL | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 04/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1134481211 | NPI BIRVA KADAKIA, OD | IL |
| 01 | — | 1306045083 | NPI MEGAN ALLEN, OD | IL |
| 01 | — | 1437323896 | NPI ROSHNI VASAIWALA, MD | IL |
| 01 | — | 1477522050 | NPI JONATHAN S BUKA, MD | IL |
| 01 | — | 1649256512 | NPI ALEXANDER J KHAMMAR, MD | IL |
| 01 | — | 1659412682 | NPI HASSAN SHAH, MD | IL |
| 01 | — | 1770544462 | NPI EMMET MICHAEL CASSIDY | IL |
| 01 | — | 1881759694 | NPI KARL TICHO, MD | IL |
| 01 | — | 1992782494 | NPI BEN TICHO, MD | IL |