# RETINA SERVICES OF ILLINOIS, LLC

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

## Provider details

- **NPI number:** 1821164039
- **Authorized official:** ROBERT P SCHROEDER MD (PRESIDENT)
- **Authorized official phone:** (847) 972-2700

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2018

## 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 |