MEDICARE: PAUL OWEN PHELPS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician	036.131388	IL

General Provider Information

NPI Number	:	1003131657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL OWEN PHELPS M.D.

Provider Business Mailing Address
First Line	:	2001 N HALSTED ST STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4365
Country	:	US
Telephone Number	:	312-888-5754
Fax Number	:	312-883-9976

Provider Business Practice Location Address
First Line	:	2001 N HALSTED ST STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4365
Country	:	US
Telephone Number	:	312-888-5754
Fax Number	:	312-883-9976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2010
Last Update Date	:	03/02/2026

Similar Medicare Providers

1215974472 — MS. JUDITH A LEDUC M.A; CCC
Practice Location Address:

2001 N HALSTED ST , SUITE 303
CHICAGO, IL
60614-4365

Practice Phone: 312-944-6336
Practice Fax:

1245254309 — RONALD ROGER WIDEN DDS
Practice Location Address:

2001 N HALSTED ST , SUITE 202
CHICAGO, IL
60614-4365

Practice Phone: 312-266-0044
Practice Fax: 312-266-8772

1114345964 — DYLAN J KATHOL M.D.
Practice Location Address:

2001 N HALSTED ST STE 304
CHICAGO, IL
60614-4365

Practice Phone: 312-612-9667
Practice Fax: 312-872-7660

1548634843 — MS. CATHERINE RANIERI MA
Practice Location Address:

2001 N HALSTED ST STE 203
CHICAGO, IL
60614-4365

Practice Phone: 224-599-4777
Practice Fax: 224-366-2583

1841786936 — MARGARET HENSLEY KHOSHABA
Practice Location Address:

2001 N HALSTED ST STE 203
CHICAGO, IL
60614-4365

Practice Phone: 872-267-2427
Practice Fax:

1659833861 — LAKESHORE COUNSELING GROUP, PLLC
Practice Location Address:

2001 N HALSTED ST STE 203
CHICAGO, IL
60614-4365

Practice Phone: 224-599-4777
Practice Fax: 224-366-2583

Directions to “ PAUL OWEN PHELPS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.