# RETINA SURGERY CENTER

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

## Provider details

- **NPI number:** 1912668260
- **Authorized official:** JACKIE M BENACKA (ADMIN)
- **Authorized official phone:** (847) 297-8900

## Contact information

- **Practice address:** 8780 W GOLF RD STE 102, NILES, IL 60714-5611
- **Practice address phone:** (847) 485-9990
- **Mailing address:** 8780 W GOLF RD STE 102, NILES, IL 60714-5611
- **Mailing address phone:** (847) 485-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2022
- **Last updated:** 08/13/2024