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Organization
REITNA INSTITUTE OF ILLINOIS
Active
Organization
REITNA INSTITUTE OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENACKA (PRACTICE ADMIN)
(847) 297-8900
Entity
Organization
Contact information
Practice address
8780 W GOLF RD, STE 304, NILES, IL 60714-5602
(847) 297-8900
Mailing address
8780 W GOLF RD, STE 304, NILES, IL 60714-5602
(847) 297-8900
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036088212
IL
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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