Chicago Eye Care and Surgery Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036107010 Issued in IL

Legal business name

CHICAGO EYE CARE AND SURGERY CENTER INC

Practice address

2345 S Wentworth Ave
Ste B
Chicago, IL 60616-5600

Phone

(312) 225-5829

NPI assigned

Oct 4, 2012

Organization subpart

No

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

Authorized official

Name

Jingtao Guo

Title

President

Phone

(773) 968-8203

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1760734404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 S WENTWORTH AVE",
            "address_2": "STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165601",
            "telephone_number": "312-225-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 S WENTWORTH AVE",
            "address_2": "STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165600",
            "telephone_number": "312-225-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO EYE CARE AND SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "JINGTAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-968-8203"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036107010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.