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Benjamin Hendrick Ticho, MD
Ophthalmology Physician in Chicago Ridge, Illinois
NPI 1992782494

Benjamin Hendrick Ticho is a Ophthalmology Physician based in Chicago Ridge, IL. Benjamin Hendrick Ticho practices in Chicago Ridge, IL and has the professional credentials of MD. The NPI Number for Benjamin Hendrick Ticho is 1992782494 and holds a License No. 036082457 (Illinois).

The current practice location address for Benjamin Hendrick Ticho is 10436 Southwest Highway, Chicago Ridge, IL and can be reached out via phone at 708-423-4070 and via fax at 708-423-4216. You can also correspond with Benjamin Hendrick Ticho through the mailing address at 10436 SOUTHWEST HWY STE 1, CHICAGO RIDGE, IL - 60415-2284 (mailing address contact number: 708-952-0109).

Location: 10436 Southwest Highway, Chicago Ridge, IL, 60415-2284
person
Provider Profile Details
NPI Number
1992782494
Provider Name
Benjamin Hendrick Ticho
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10436 Southwest Highway, Chicago Ridge, IL, 60415-2284
Phone Number
708-423-4070
Fax Number
708-423-4216
Provider Enumeration Date
12/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01621679 01 IL BC/BS OF ILLINOIS
205786 01 IL PTAN MEDICARE DUPAGE COUNTY IL
253350 01 IN MEDICARE GROUP LEGACY LPI: 253350
036082457 05 IL
205785 01 IL PTAN MEDICARE COOK COUNTY IL
M400068419 01 IN MEDICARE INDIVIDUAL PIN/PTAN: M400068419
10601008 01 IN CAQH
1083684922 01 GROUP NPI
200155690 01 IN INDIVIDUAL LEGACY PROVIDER
200155690 01 IN INDIANA MEDICAID
10601008 01 IL CAQH
180046211 01 IL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
10436 Southwest Highway
City
State
Zip
60415-2282
Phone Number
708-423-4070
Fax Number
708-423-4216
person
Provider Business Mailing Address Details
Address
10436 Southwest Hwy Ste 1
City
State
Zip
60415-2284
Phone Number
708-952-0109
Fax Number
708-952-0329
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optometric Technician
Taxonomy
License No.
036082457 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
License No.
01070796A (Indiana)
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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Pediatric Ophthalmology and Strabismus Specialist
Taxonomy
License No.
036082457 (Illinois)
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
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