Provider Demographics
NPI:1275931669
Name:OSSIP MANAGEMENT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:OSSIP MANAGEMENT SOLUTIONS, LLC
Other - Org Name:DOWNERS GROVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINACE AND INSURANCE
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DABELOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-254-6480
Mailing Address - Street 1:1001 OGDEN AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-2865
Mailing Address - Country:US
Mailing Address - Phone:630-969-0402
Mailing Address - Fax:630-696-1674
Practice Address - Street 1:1001 OGDEN AVE
Practice Address - Street 2:STE 101
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-2865
Practice Address - Country:US
Practice Address - Phone:630-969-0405
Practice Address - Fax:630-969-1674
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OSSIP MANAGEMENT SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18001899A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty