Organization Active NPI

Chicago Glaucoma Consultants LTD

  • Ophthalmology Physician
  • Glenview, IL
National Provider Identifier
1386661379
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036060627 Issued in IL
Legal business name
CHICAGO GLAUCOMA CONSULTANTS LTD
Practice address
2640 Patriot Blvd
Suite 100
Glenview, IL 60026-8075
Phone
(847) 510-6000
Fax
(847) 832-0905
NPI assigned
Jul 16, 2006
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carmen Castro
Title
Administrator
Phone
(847) 510-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036060627 IL Primary

Addresses

Primary practice location

2640 Patriot Blvd
Suite 100
Glenview, IL 60026-8075

Mailing address

2640 Patriot Blvd
Suite 100
Glenview, IL 60026-8075
Phone (847) 510-6000

Other identifiers 1

IdentifierTypeStateIssuer
31601081OtherILBCBS #

Other names 1

  • Steven V.L. Brown, MD, SC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060926000101 IL Part B Supplier - Clinic/Group Practice 6608871678 Receives reassigned benefits from 5 practitioners
Practice locations: Glenview, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2107358Chicago Glaucoma Consultants2640 Patriot Blvd Ste - 100, Glenview, IL 60026Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Locations

1725 W Harrison St
Ste 928
Chicago, IL 60612
Phone (312) 942-3500

1800 Sherman Ave
Ste 511
Evanston, IL 60201
Phone (708) 492-3250

800 Austin St
Ste 151
Evanston, IL 60202
Phone (847) 328-2300

2640 Patriot Blvd
Ste 100
Glenview, IL 60026
Phone (847) 492-3250

Interoperability endpoints

  • Direct secure messaging: hweis@cgc.intellechartdirect.net
  • Direct secure messaging: lyoung@cgc.intellechartdirect.net
  • Direct secure messaging: mgorla@cgc.intellechartdirect.net
  • Direct secure messaging: nanand@cgc.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1386661379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD",
            "address_2": "SUITE 100",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268075",
            "telephone_number": "847-510-6000",
            "fax_number": "847-832-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD",
            "address_2": "SUITE 100",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268075",
            "telephone_number": "847-510-6000",
            "fax_number": "847-832-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO GLAUCOMA CONSULTANTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-510-6000"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036060627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "31601081",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven V.L. Brown, MD, SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.