Provider Demographics
NPI:1104433473
Name:CHICAGOLAND EYE CONSULTANTS, SC
Entity type:Organization
Organization Name:CHICAGOLAND EYE CONSULTANTS, SC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASMEET
Authorized Official - Middle Name:S
Authorized Official - Last Name:DHALIWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-775-9755
Mailing Address - Street 1:2371 BOWES RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-5523
Mailing Address - Country:US
Mailing Address - Phone:773-775-9755
Mailing Address - Fax:630-724-1410
Practice Address - Street 1:477 E BUTTERFIELD RD STE 105
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5622
Practice Address - Country:US
Practice Address - Phone:773-775-9755
Practice Address - Fax:630-724-1410
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHICAGOLAND EYE CONSULTANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-30
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty