Organization
RETINALYSIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BENJAMIN YOUNAN (ADMINISTRATOR)
(847) 297-8900
Entity
Organization
Contact information
Practice address
8780 W GOLF RD STE 304, NILES, IL 60714-5611
(847) 297-8900
(847) 297-8926
Mailing address
8780 W GOLF RD STE 304, NILES, IL 60714-5611
(847) 297-8900
(847) 297-8926
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200572442
—
Other
Enumeration date
07/24/2007
Last updated
12/04/2008
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