MEDICARE: ROP CONSULTANTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1770149049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROP CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	5228 N VIRGINIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-4015
Country	:	US
Telephone Number	:	773-680-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	5228 N VIRGINIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-4015
Country	:	US
Telephone Number	:	773-680-2020
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. LAWRENCE M KAUFMAN
Credential	:	MD
Telephone Number	:	773-680-2020

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	05/13/2019

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