Provider Demographics
NPI:1598942252
Name:HOME BOUND EYE CARE SERVICES LTD
Entity Type:Organization
Organization Name:HOME BOUND EYE CARE SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAWLYK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:773-736-2801
Mailing Address - Street 1:5301 TOUHY AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3247
Mailing Address - Country:US
Mailing Address - Phone:773-736-2801
Mailing Address - Fax:773-736-2802
Practice Address - Street 1:5301 TOUHY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3247
Practice Address - Country:US
Practice Address - Phone:773-736-2801
Practice Address - Fax:773-736-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL17657Medicare PIN