# CENTER FOR VITREO RETINAL DISEASES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ira Garoon, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750507042
- **Authorized official:** DR. IRA GAROON M.D. (PRESIDENT)
- **Authorized official phone:** (847) 294-0080

## Contact information

- **Practice address:** 9301 GOLF RD, SUITE 102, DES PLAINES, IL 60016-1667
- **Practice address phone:** (847) 294-0080
- **Practice address fax:** (847) 294-0193
- **Mailing address:** 9301 GOLF RD, SUITE 102, DES PLAINES, IL 60016-1667
- **Mailing address phone:** (847) 294-0080
- **Mailing address fax:** (847) 294-0193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036058218 | IL | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/06/2021
