Organization
RETINA SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE M BENACKA (ADMIN)
(847) 297-8900
Entity
Organization
Contact information
Practice address
8780 W GOLF RD STE 102, NILES, IL 60714-5611
(847) 485-9990
Mailing address
8780 W GOLF RD STE 102, NILES, IL 60714-5611
(847) 485-9990
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
08/13/2024
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