Healthcare Provider Details

I. General information

NPI: 1679091573
Provider Name (Legal Business Name): CHICAGOLAND EYE CONSULTANTS SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2017
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2371 BOWES RD STE 300
ELGIN IL
60123-5523
US

IV. Provider business mailing address

2371 BOWES RD STE 300
ELGIN IL
60123-5523
US

V. Phone/Fax

Practice location:
  • Phone: 773-775-9755
  • Fax:
Mailing address:
  • Phone: 773-775-9755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number036.119696
License Number StateIL

VIII. Authorized Official

Name: JASMEET DHALIWAL
Title or Position: PRESIDENT
Credential: MD
Phone: 773-775-9755