Retina Services of Illinois, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-068461 Issued in IL

Legal business name

RETINA SERVICES OF ILLINOIS, LLC

Practice address

7447 W Talcott Ave Ste 345
Chicago, IL 60631

Phone

(847) 972-2700

Fax

(847) 972-2712

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Robert P Schroeder, MD

Title

President

Phone

(847) 972-2700

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey R Parnell, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Chicago, IL
  • NPI 1902873722
  Medicare reassignment Care Compare group
• Manthan Rajesh Shah, MD

  • Ophthalmology Physician
  • Maywood, IL
  • NPI 1851684476
  Medicare reassignment Care Compare group
• Omar Hassan, MD

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1366820441
  Medicare reassignment NPD
• Frank Paul La Franco, MD

  • Ophthalmology Physician
  • Skokie, IL
  • NPI 1710954474
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1821164039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 345",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313714",
            "telephone_number": "847-972-2700",
            "fax_number": "847-972-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 345",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60631",
            "telephone_number": "847-972-2700",
            "fax_number": "847-972-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA SERVICES OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-972-2700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-068461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095676",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RETIRED RAILROAD",
            "identifier": "DF4390",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036045862",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1637185",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "214702",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068461",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "214701",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Resurrection Services
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• Victoria Shanta Retelny, RD, LD
• Retina Services LTD.
• Retinal Vitreal Consultants LTD
• Retrofit, Inc.
• Carolyn D Retterer, MS,RPH
• Anna Rettig
• Mateya Rettig, PT, DPT

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.