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Organization
ILLINOIS GLAUCOMA CENTER, LTD
Active
Organization
ILLINOIS GLAUCOMA CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILI FARROKH-SIAR M.D. (OWNER)
(312) 949-7278
Entity
Organization
Contact information
Practice address
9980 W 190TH ST, SUITE D, MOKENA, IL 60448-8187
(708) 429-3937
(708) 429-7020
Mailing address
9980 W 190TH ST, SUITE D, MOKENA, IL 60448-8187
(708) 429-3937
(708) 429-7020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036
IL
Other
Enumeration date
02/28/2012
Last updated
03/14/2017
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