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General NPI Number Information
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NPI Number | 1629067673
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Entity Type | Organization
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Legal Business Name | RETINA ASSOCIATES LTD
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 133 E BRUSH HILL RD STE 300
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City | ELMHURST
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State | IL
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Zip | 60126-5659
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Country | US
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Telephone | 630-571-1501
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Fax | 630-571-5679
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Provider Business Mailing Address
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Address Line | 133 E BRUSH HILL RD STE 300
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City | ELMHURST
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State | IL
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Zip | 60126-5659
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Country | US
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Telephone | 630-571-1501
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Fax | 630-571-5679
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AARON B WEINBERG
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Credential | M.D.
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Telephone | 630-571-1501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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