Organization
LAKESHORE EYE PHYSICIANS AND SURGEONS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD JOEL REINGLASS MD (PRESIDENT)
(773) 743-6700
Entity
Organization
Contact information
Practice address
7200 NORTH WESTERN AVENUE, CHICAGO, IL 60645-1812
(773) 743-6700
(773) 761-9226
Mailing address
7080 NORTH WESTERN AVENUE, CHICAGO, IL 60645
(773) 465-7777
(773) 761-9226
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618098
BCBS
IL
Enumeration date
07/31/2006
Last updated
08/22/2020
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