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Organization

RETINA SERVICES OF ILLINOIS, LLC

Active
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Organization

RETINA SERVICES OF ILLINOIS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT P SCHROEDER MD (PRESIDENT)
(847) 972-2700
Entity
Organization

Contact information

Practice address
7447 W TALCOTT AVE STE 345, CHICAGO, IL 60631
(847) 972-2700
(847) 972-2712
Mailing address
7447 W TALCOTT AVE STE 345, CHICAGO, IL 60631-3714
(847) 972-2700
(847) 972-2712

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-068461
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045862
—
IL
05
—
036068461
—
IL
05
—
036095676
—
IL
01
—
1637185
BCBS
IL
01
—
214701
MEDICARE
IL
01
—
214702
MEDICARE
IL
01
—
DF4390
MEDICARE RETIRED RAILROAD
IL
Enumeration date
11/28/2006
Last updated
08/22/2018
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