Provider Demographics
NPI:1306955299
Name:EYE PHYSICIANS&SURGEONS OF CHICAGO,S.C.
Entity type:Organization
Organization Name:EYE PHYSICIANS&SURGEONS OF CHICAGO,S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:HERST
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:773-525-8700
Mailing Address - Street 1:331 W SURF ST STE 702
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-7227
Mailing Address - Country:US
Mailing Address - Phone:773-525-8700
Mailing Address - Fax:773-525-8699
Practice Address - Street 1:2800 N SHERIDAN RD STE 103
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6163
Practice Address - Country:US
Practice Address - Phone:773-525-8700
Practice Address - Fax:773-525-8699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC43814Medicare UPIN
ILC45357Medicare UPIN
ILT38786Medicare UPIN
ILG53308Medicare UPIN