Organization Active NPI

Midwest Retina Consultants, S.C.

  • Retina Specialist (Ophthalmology) Physician
  • Des Plaines, IL
National Provider Identifier
1871545681
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
MIDWEST RETINA CONSULTANTS, S.C.
Practice address
8901 W. Golf Road
206
Des Plaines, IL 60016
Phone
(847) 699-0006
Fax
(847) 699-1744
NPI assigned
May 17, 2006
Last updated
Jun 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Authorized official

Name
Dr. George Juric Wyhinny, MDNPI 1790750834
Title
President
Phone
(847) 699-0006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU
Retina Specialist (Ophthalmology) Physician 207WX0107X NU Primary

Addresses

Primary practice location

8901 W. Golf Road
206
Des Plaines, IL 60016

Mailing address

8901 W. Golf Road
206
Des Plaines, IL 60016-6850
Phone (847) 699-0006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412001344 IL Part B Supplier - Clinic/Group Practice 6800833716 Receives reassigned benefits from 7 practitioners
Practice locations: Chicago, IL; Hoffman Estates, IL; Elk Grove VLG, IL; Des Plaines, IL; Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

5015 N Paulina St
#204
Chicago, IL 60640
Phone (847) 698-6300

7447 W Talcott Ave
Ste 367
Chicago, IL 60631
Phone (773) 957-0150

8901 Golf Rd
Ste 206
Des Plaines, IL 60016
Phone (847) 698-6300

810 Biesterfield Rd
#730
Elk Grove Vlg, IL 60007
Phone (847) 394-3933

1875 Dempster St
Ste 640
Park Ridge, IL 60068
Phone (847) 297-6380

Interoperability endpoints

  • Direct secure messaging: bkim@mwretina.intellechartdirect.net
  • Direct secure messaging: dalter@mwretina.intellechartdirect.net
  • Direct secure messaging: egarcia@mwretina.intellechartdirect.net
  • Direct secure messaging: gwyhinny@mwretina.intellechartdirect.net
  • Direct secure messaging: rhussain@mwretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 8

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1871545681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W. GOLF ROAD",
            "address_2": "206",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166850",
            "telephone_number": "847-699-0006",
            "fax_number": "847-699-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W. GOLF ROAD",
            "address_2": "206",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-699-0006",
            "fax_number": "847-699-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST RETINA CONSULTANTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "WYHINNY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JURIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-699-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

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