MEDICARE: CHICAGOLAND EYE CONSULTANTS SC

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	036119696	IL

General Provider Information

NPI Number	:	1962819839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGOLAND EYE CONSULTANTS SC

Provider Business Mailing Address
First Line	:	7447 W TALCOTT AVE STE 406
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3715
Country	:	US
Telephone Number	:	773-775-9755
Fax Number	:

Provider Business Practice Location Address
First Line	:	7447 W TALCOTT AVE
Second Line	:	SUITE 406
City	:	CHICAGO
State	:	IL
Zip	:	60631-3715
Country	:	US
Telephone Number	:	773-775-9755
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JASMEET DHALIWAL
Credential	:	M.D.
Telephone Number	:	773-775-9755

Provider Enumeration Date	:	07/12/2014
Last Update Date	:	01/06/2026

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Directions to “CHICAGOLAND EYE CONSULTANTS SC ” Practice Location

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