Provider Demographics
NPI:1821707217
Name:CHICAGOLAND OCULOPLASTICS CONSULTANTS PLLC
Entity Type:Organization
Organization Name:CHICAGOLAND OCULOPLASTICS CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:PAULA
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:224-567-8480
Mailing Address - Street 1:940 LEE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6572
Mailing Address - Country:US
Mailing Address - Phone:224-567-8480
Mailing Address - Fax:847-813-6426
Practice Address - Street 1:940 LEE ST STE 200
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-6572
Practice Address - Country:US
Practice Address - Phone:224-567-8480
Practice Address - Fax:847-813-6426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Single Specialty