ROBERT O GRAHAM MDSC


Address: 711 W North Ave, Suite 206, Chicago, IL 60610-1174
Phone: 3125739292

ROBERT O GRAHAM MDSC (NPI# 1073545620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073545620
Entity Type Organization
Organization Name ROBERT O GRAHAM MDSC
Practice Address 711 W North Ave
Suite 206
Chicago
IL 60610-1174
Practice Telephone 3125739292
Practice Fax Number 3125739297
Mailing Telephone 3125739292
Mailing Fax Number 3125739297
Enumeration Date 2006-07-06
Last Update Date 2020-08-22
Authorized Official Name DR. ROBERT O GRAHAM (PRESIDENT)
Authorized Official Telephone 3125739292
Authorized Official Credential M.D.,S.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Office Location

Street Address 711 W NORTH AVE
SUITE 206
City CHICAGO
State IL
Zip Code 60610-1174

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548210339 Qeena C Woodard Podiatrist 711 W North Ave, Suite 210, Chicago, IL 60610-1174 2006-05-11
1730611898 Daniella Davida Brutman Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2017-03-29
1073963344 Ann Tran Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2016-06-17
1881049583 Kristen Gallagher Obstetrics & Gynecology 711 W North Ave, Chicago, IL 60610-1174 2016-05-01
1215301312 Chicago Bright Smiles Clinic/Center 711 W North Ave, Suite 216, Chicago, IL 60610-1174 2015-11-30
1487028825 Presence Chicago Hospitals Network Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2015-11-23
1043694045 Julieta Lasala Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2015-07-20
1376982777 Jessica Louise Rubino Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2013-06-19
1154765790 George Herman Roepke IIi Family Medicine 711 W North Ave, Suite 209, Chicago, IL 60610-1174 2013-04-25
1265797021 Gary Ray Fernandez Family Medicine 711 W North Ave, Chicago, IL 60610-1174 2012-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326683145 Roslyn M Jordan Counselor 860 N. Lasalle, Chicago, IL 60610 2019-11-15
1992278196 Deangela Roberson Specialist/Technologist, Other 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 2019-01-10
1477053205 Terri Lynn Tyson Counselor 1250 N. Dearborn St., 18b, Chicago, IL 60610 2018-02-19
1487153797 Jennifer Quinn Social Worker 1200 N. Lasalle Street, Chicago, IL 60610 2018-02-02
1811415334 Erin Conroy Behavioral Analyst 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 2017-09-05
1659898674 Courtney Jane Busing Speech-Language Pathologist 1211 N Lasalle, 903, Chicago, IL 60610 2017-08-30
1528503042 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 908 North State Street, Chicago, IL 60610 2016-12-20
1548702814 Melissa Snyder Counselor 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 2016-11-17
1982146908 Samantha Ruth Slagh Physical Therapist 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 2016-11-08
1891242426 Stephanie Pinsler Counselor 100 W Chestnut, #1907, Chicago, IL 60610 2016-09-01
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649894189 Lakeshore Ophthalmology, LLC Ophthalmology 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 2020-06-01
1053940460 Neil L Ross Ophthalmology 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 2020-04-07
1770149049 Rop Consultants LLC Ophthalmology 5228 N Virginia Ave, Chicago, IL 60625-4015 2019-05-13
1962969881 Monique Munro Ophthalmology 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 2019-02-27
1063987345 Chataam Optical LLC Ophthalmology 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 2018-10-12
1740717149 Samuel Philip Burke Ophthalmology 1855 W Taylor St Rm 3.138, Chicago, IL 60612-7242 2017-05-16
1528430873 Yana Kiesau M.d., LLC Ophthalmology 3423 N Seeley Ave, Chicago, IL 60618-6113 2015-10-27
1245619105 Anna Mackin Ophthalmology 5841 S Maryland Ave # Mc 1052, Chicago, IL 60637-1447 2015-05-26
1932587656 John Douglas Wilgucki II Ophthalmology 1855 W Taylor St Ste 2.50, Chicago, IL 60612-7242 2015-05-14
1609253145 Mary Kathleen Russell Ophthalmology 259 E Erie St Ste 1500, Chicago, IL 60611-3111 2015-05-05
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Competitor

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City CHICAGO
Zip Code 60610

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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