Provider Demographics
NPI:1790543130
Name:NEXT LEVEL RETINA PLLC
Entity Type:Organization
Organization Name:NEXT LEVEL RETINA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEERAV
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-242-5511
Mailing Address - Street 1:1919 MIDWEST RD STE 200
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1318
Mailing Address - Country:US
Mailing Address - Phone:630-242-5511
Mailing Address - Fax:630-242-5513
Practice Address - Street 1:1919 MIDWEST RD STE 200
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1318
Practice Address - Country:US
Practice Address - Phone:630-242-5511
Practice Address - Fax:630-242-5513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Multi-Specialty