Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILLINOIS RETINA ASSOCIATES PLLC
Deactivated OrganizationILLINOIS RETINA ASSOCIATES PLLC is a Sports Medicine (Emergency) organization located in ORLAND PARK, Illinois. NPI 1225038870 is deactivated in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · ORLAND PARK, IL
This NPI has been deactivated.
The record was deactivated on May 16, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1225038870
- Provider Type
- Organization
- NPI Issued
- Jul 26, 2005 (12.805479452055 yrs)
- Last Updated
- Feb 4, 2026
- Deactivated
- May 16, 2018
- License
-
036113707 (IL)
Practice Information
- Address
-
11516 183RD PL STE SWORLAND PARK, IL, 604679471Browse IL providers · Browse ZIP 60467
- Phone
- 7088771300
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.