Organization
RETINA MACULA SPECIALISTS, P.C.
Active
Other names
Bolingbrook Diabetic Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRMA AHMED MD (PRESIDENT.)
(630) 783-9960
Entity
Organization
Contact information
Practice address
550 E. BOUGHTON ROAD SUITE 120, BILINGBROOK, IL 60440
(630) 783-9960
(630) 783-9962
Mailing address
550 E. BOUGHTON ROAD SUITE 120, BILINGBROOK, IL 60440
(630) 783-9960
(630) 783-9962
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036101438
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101438
—
IL
Enumeration date
06/25/2007
Last updated
05/11/2018
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