Organization Active NPI

Sr Cornea Consultants SC

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1629463039
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036102488 Issued in IL
Legal business name
SR CORNEA CONSULTANTS SC
Practice address
180 N Michigan Ave
Ste 1900
Chicago, IL 60601-7401
Phone
(312) 553-1818
Fax
(312) 641-5503
NPI assigned
Apr 2, 2015
Reactivated
Nov 18, 2020
Last updated
Nov 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Sanjay N Rao
Title
President
Phone
(847) 668-5498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036102488 IL Primary

Addresses

Primary practice location

180 N Michigan Ave
Ste 1900
Chicago, IL 60601-7401

Mailing address

16 Kimberley Cir
Oak Brook, IL 60523-1719
Phone (847) 668-5498

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1629463039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KIMBERLEY CIR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231719",
            "telephone_number": "847-668-5498",
            "fax_number": "312-641-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "STE 1900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "312-553-1818",
            "fax_number": "312-641-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR CORNEA CONSULTANTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "deactivation_date": "2020-11-12",
        "reactivation_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-668-5498"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036102488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.