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NPI Code Detail

MEDICARE: ADVANCED RETINAL INSTITUTE, INC.

MEDICARE: ADVANCED RETINAL INSTITUTE, INC.
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
1207W00000XOphthalmology Physician036111343IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2216010OTHERILPTAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41760666754OTHERILNPI

General Provider Information

NPI Number : 1760666754
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED RETINAL INSTITUTE, INC.
Provider Business Mailing Address
First Line : 7808 W COLLEGE DR
Second Line : 1NW
City : PALOS HEIGHTS
State : IL
Zip : 60463-1027
Country : US
Telephone Number : 708-499-0123
Fax Number : 708-499-0611
Provider Business Practice Location Address
First Line : 7808 W COLLEGE DR
Second Line : 1NW
City : PALOS HEIGHTS
State : IL
Zip : 60463-1027
Country : US
Telephone Number : 708-499-0123
Fax Number : 708-499-0611
Authorized Official
Title or Position : PRESIDENT
Name : DR. CALVIN ALEXANDER GRANT
Credential :
Telephone Number : 708-499-0123
Provider Enumeration Date : 12/26/2007
Last Update Date : 07/07/2010

Similar Medicare Providers

1679551014 — DR. CALVIN ALEXANDER GRANT M.D.
Practice Location Address:
7808 W COLLEGE DR , SUITE 1-NW
PALOS HEIGHTS, IL
60463-1027
Practice Phone: 708-499-0123
Practice Fax: 708-499-0611
1386684066 — SCOTT W SIEGNER M.D.
Practice Location Address:
7808 W COLLEGE DR , SUITE 3 SW
PALOS HEIGHTS, IL
60463-1027
Practice Phone: 708-671-1009
Practice Fax: 708-671-1109
1861427387 — A.S.S.I.S.T. OF PALOS HEIGHTS, INC.
Practice Location Address:
7808 W COLLEGE DR , LOWER LEVEL STE 3
PALOS HEIGHTS, IL
60463-1027
Practice Phone: 708-261-3544
Practice Fax: 708-361-4460
1295749380 — NICOLE DENEE JOY P.A.-C.
Practice Location Address:
7808 W COLLEGE DR , SUITE 1SW
PALOS HEIGHTS, IL
60463-1027
Practice Phone: 708-361-0730
Practice Fax: 708-361-0740
1548380660 — EILEEN MCCARTHY LCSW
Practice Location Address:
7808 W COLLEGE DR , STE LL2
PALOS HEIGHTS, IL
60463-1027
Practice Phone: 708-833-0389
Practice Fax:
1215197546 — ALLERGY & CLINICAL IMMUNOLOGY INC
Practice Location Address:
7808 W COLLEGE DR , SUITE 1SW
PALOS HEIGHTS, IL
60463-1027
Practice Phone: 708-361-0730
Practice Fax: 708-361-0740

Directions to “ADVANCED RETINAL INSTITUTE, INC. ” Practice Location

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