NPIMap

Organization Active NPI

Retinalysis, Inc.

  • Specialist
  • Niles, IL
National Provider Identifier
1932309259
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
200572442
Legal business name
RETINALYSIS, INC.
Practice address
8780 W Golf Rd Ste 304
Niles, IL 60714-5611
Phone
(847) 297-8900
Fax
(847) 297-8926
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Mr. Michael Benjamin Younan
Title
Administrator
Phone
(847) 297-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 200572442 Primary

Addresses

Primary practice location

8780 W Golf Rd Ste 304
Niles, IL 60714-5611

Mailing address

8780 W Golf Rd Ste 304
Niles, IL 60714-5611
Phone (847) 297-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1932309259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 W GOLF RD STE 304",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145611",
            "telephone_number": "847-297-8900",
            "fax_number": "847-297-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 W GOLF RD STE 304",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145611",
            "telephone_number": "847-297-8900",
            "fax_number": "847-297-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINALYSIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "YOUNAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-297-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": "200572442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.