MEDICARE: WHISPERING POINT OPHTHALMOLOGY 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	174400000X	Specialist	036097592	IL
2	174400000X	Specialist	0	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05600304	OTHER	IL	BLUE CROSS BLUE SHEILD PI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4558723	OTHER	IL	AETNA PIN
4	604367	OTHER	IL	UNITED HEALTH CARE PIN

General Provider Information

NPI Number	:	1538369574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHISPERING POINT OPHTHALMOLOGY SC

Provider Business Mailing Address
First Line	:	4314 W CRYSTAL LAKE RD STE B
Second Line	:
City	:	MCHENRY
State	:	IL
Zip	:	60050-4281
Country	:	US
Telephone Number	:	815-363-8866
Fax Number	:	815-363-8893

Provider Business Practice Location Address
First Line	:	4314 W CRYSTAL LAKE RD STE B
Second Line	:
City	:	MCHENRY
State	:	IL
Zip	:	60050-4281
Country	:	US
Telephone Number	:	815-363-8866
Fax Number	:	815-363-8893

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. KIM ZAWACKI
Credential	:
Telephone Number	:	815-363-8866

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	07/21/2022

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Directions to “WHISPERING POINT OPHTHALMOLOGY SC ” Practice Location

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