MEDICARE: CHICAGOLAND EYE CONSULTANTS, SC

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	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1104433473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGOLAND EYE CONSULTANTS, SC

Provider Business Mailing Address
First Line	:	2371 BOWES RD STE 300
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60123-5523
Country	:	US
Telephone Number	:	773-775-9755
Fax Number	:	630-724-1410

Provider Business Practice Location Address
First Line	:	477 E BUTTERFIELD RD STE 105
Second Line	:
City	:	LOMBARD
State	:	IL
Zip	:	60148-5622
Country	:	US
Telephone Number	:	773-775-9755
Fax Number	:	630-724-1410

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JASMEET S DHALIWAL
Credential	:	MD
Telephone Number	:	773-775-9755

Provider Enumeration Date	:	09/30/2020
Last Update Date	:	01/06/2026

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