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General NPI Number Information
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NPI Number | 1962819839
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Entity Type | Organization
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Legal Business Name | CHICAGOLAND EYE CONSULTANTS SC
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Dates
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Enumeration Date | 07/12/2014
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 7447 W TALCOTT AVE SUITE 406
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City | CHICAGO
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State | IL
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Zip | 60631-3715
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Country | US
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Telephone | 773-775-9755
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Fax |
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Provider Business Mailing Address
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Address Line | 7447 W TALCOTT AVE STE 406
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City | CHICAGO
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State | IL
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Zip | 60631-3715
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Country | US
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Telephone | 773-775-9755
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASMEET DHALIWAL
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Credential | M.D.
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Telephone | 773-775-9755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036119696
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License Number State | IL
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