Healthcare Provider Details

I. General information

NPI: 1487573002
Provider Name (Legal Business Name): FAMILY OCULARISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 LEE ST STE A
DES PLAINES IL
60016-6570
US

IV. Provider business mailing address

926 LEE ST STE A
DES PLAINES IL
60016-6570
US

V. Phone/Fax

Practice location:
  • Phone: 847-827-0666
  • Fax: 847-827-6247
Mailing address:
  • Phone: 847-827-0666
  • Fax: 847-827-6247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1700X
TaxonomyOcularist
License Number
License Number State

VIII. Authorized Official

Name: GILBERT ROMERO
Title or Position: OCULARIST
Credential:
Phone: 847-827-0666