MEDICARE: OPHTHALMOLOGY NORTHWEST, S.C.

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	036-062534	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180005988	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	31602843	OTHER	IL	BLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number	:	1871620609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPHTHALMOLOGY NORTHWEST, S.C.

Provider Business Mailing Address
First Line	:	7447 W TALCOTT AVE
Second Line	:	SUITE 406
City	:	CHICAGO
State	:	IL
Zip	:	60631-3715
Country	:	US
Telephone Number	:	773-775-9755
Fax Number	:	773-775-4306

Provider Business Practice Location Address
First Line	:	7447 W TALCOTT AVE
Second Line	:	SUITE 406
City	:	CHICAGO
State	:	IL
Zip	:	60631-3715
Country	:	US
Telephone Number	:	773-775-9755
Fax Number	:	773-775-4306

Authorized Official
Title or Position	:	BOARD CERTIFIED OPHTHALMOLOGIST
Name	:	DR. JOHN B. BELLO
Credential	:	M.D.
Telephone Number	:	773-775-9755

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	11/25/2009

Similar Medicare Providers

1962819839 — CHICAGOLAND EYE CONSULTANTS SC
Practice Location Address:

7447 W TALCOTT AVE , SUITE 406
CHICAGO, IL
60631-3715

Practice Phone: 773-775-9755
Practice Fax:

1518960145 — PAUL J TOUSSAINT MD
Practice Location Address:

7447 W TALCOTT AVE , STE 467
CHICAGO, IL
60631-3715

Practice Phone: 773-763-1126
Practice Fax:

1003813973 — DR. JOHN B BELLO M.D.
Practice Location Address:

7447 W TALCOTT AVE , SUITE 406
CHICAGO, IL
60631-3715

Practice Phone: 773-775-9755
Practice Fax: 773-775-4306

1144203647 — WAHID KASSAR M.D.
Practice Location Address:

7447 W TALCOTT AVE STE 467
CHICAGO, IL
60631-3715

Practice Phone: 630-866-3636
Practice Fax: 773-692-2035

1689636904 — LISA MARIE OLDHAM M.D.
Practice Location Address:

7447 W TALCOTT AVE STE 454
CHICAGO, IL
60631-3715

Practice Phone: 773-631-5767
Practice Fax:

1750313771 — DR. JASMEET S DHALIWAL M.D.
Practice Location Address:

7447 W TALCOTT AVE , SUITE 406
CHICAGO, IL
60631-3715

Practice Phone: 773-775-9755
Practice Fax: 773-775-4306

Directions to “OPHTHALMOLOGY NORTHWEST, S.C. ” 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.