# REITNA INSTITUTE OF ILLINOIS

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

## Provider details

- **NPI number:** 1790211381
- **Authorized official:** JACKIE BENACKA (PRACTICE ADMIN)
- **Authorized official phone:** (847) 297-8900

## Contact information

- **Practice address:** 8780 W GOLF RD, STE 304, NILES, IL 60714-5602
- **Practice address phone:** (847) 297-8900
- **Mailing address:** 8780 W GOLF RD, STE 304, NILES, IL 60714-5602
- **Mailing address phone:** (847) 297-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | 036088212 | IL | Yes |

## Other

- **Enumeration date:** 05/03/2017
- **Last updated:** 05/03/2017