# ILLINOIS GLAUCOMA CENTER, LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265706956
- **Authorized official:** LILI FARROKH-SIAR M.D. (OWNER)
- **Authorized official phone:** (312) 949-7278

## Contact information

- **Practice address:** 9980 W 190TH ST, SUITE D, MOKENA, IL 60448-8187
- **Practice address phone:** (708) 429-3937
- **Practice address fax:** (708) 429-7020
- **Mailing address:** 9980 W 190TH ST, SUITE D, MOKENA, IL 60448-8187
- **Mailing address phone:** (708) 429-3937
- **Mailing address fax:** (708) 429-7020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036 | IL | Yes |

## Other

- **Enumeration date:** 02/28/2012
- **Last updated:** 03/14/2017