Organization
CHICAGO RETINA, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL A MENNER M.D. (PRESIDENT)
(773) 394-6990
Entity
Organization
Contact information
Practice address
1182 N MILWAUKEE AVE, STOREFRONT, CHICAGO, IL 60642-4007
(773) 394-6990
(773) 394-6993
Mailing address
1182 N MILWAUKEE AVE, STOREFRONT, CHICAGO, IL 60642-4007
(773) 394-6990
(773) 394-6993
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036097549
IL
Other
Enumeration date
10/11/2008
Last updated
10/11/2008
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