Organization
ROBERT B SCOTT OCULARISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY L BLUM (OFFICE MANAGER/TREASURER)
(312) 782-3558
Entity
Organization
Contact information
Practice address
111 N WABASH AVE, SUITE 1620, CHICAGO, IL 60602-3453
(312) 782-3558
(312) 372-4449
Mailing address
111 N WABASH AVE, SUITE 1620, CHICAGO, IL 60602-3453
(312) 782-3558
(312) 372-4449
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001670147
BC/BS OF ILLINOIS
IL
01
—
0008730224
AETNA
—
01
—
130937200
DOL/OWCP
—
Enumeration date
09/05/2006
Last updated
04/04/2024
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