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DR. FAKHOURY EYE CARE PC NPI 1083090716


NPI Information

NPI: 1083090716
Provider Name: DR. FAKHOURY EYE CARE PC

Doing Business As: GRAND EYE CARE

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
8362 GRAND AVE
RIVER GROVE, IL
ZIP 60171
Phone: (708) 583-1100
Get Directions

DR. FAKHOURY EYE CARE PC is a medical specialty clinic center in River Grove, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DR. FAKHOURY EYE CARE PC NPI is 1083090716. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Eye Care.

The provider's business location address is:

8362 GRAND AVE
RIVER GROVE, IL
ZIP 60171-435
Phone: (708) 583-1100

The provider's authorized official is Nader E. Fakhoury .
The authorized official title is President and has the following contact phone number (847) 800-8856.

The enumeration date for this NPI number is 8/5/2015 and was last updated on 8/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty046009416ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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