Healthcare Provider Details

I. General information

NPI: 1588292031
Provider Name (Legal Business Name): CHICAGOLAND ADVANCED RETINA CARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 W LAKE ST STE 303
ADDISON IL
60101-2586
US

IV. Provider business mailing address

303 W LAKE ST STE 303
ADDISON IL
60101-2586
US

V. Phone/Fax

Practice location:
  • Phone: 630-225-7247
  • Fax: 619-326-3920
Mailing address:
  • Phone: 630-225-7247
  • Fax: 619-326-3920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. ANDREW W FRANCIS
Title or Position: PRESIDENT
Credential: MD
Phone: 510-292-8058