Organization
RETINA SERVICES OF ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P SCHROEDER MD (PRESIDENT)
(847) 972-2700
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE STE 345, CHICAGO, IL 60631
(847) 972-2700
(847) 972-2712
Mailing address
7447 W TALCOTT AVE STE 345, CHICAGO, IL 60631-3714
(847) 972-2700
(847) 972-2712
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-068461
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045862
—
IL
05
—
036068461
—
IL
05
—
036095676
—
IL
01
—
1637185
BCBS
IL
01
—
214701
MEDICARE
IL
01
—
214702
MEDICARE
IL
01
—
DF4390
MEDICARE RETIRED RAILROAD
IL
Enumeration date
11/28/2006
Last updated
08/22/2018
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