Organization
RETINA CENTER OF CHICAGO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LARSEN MD (PRESIDENT)
(773) 943-7425
Entity
Organization
Contact information
Practice address
477 E BUTTERFIELD RD STE 105, LOMBARD, IL 60148-5622
(773) 943-7425
Mailing address
1S376 SUMMIT AVE STE 4C, OAKBROOK TERRACE, IL 60181-3966
(773) 943-7425
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
09/05/2024
Last updated
07/30/2025
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