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Organization
LOTUS EYECARE, INC.
Active
Organization
LOTUS EYECARE, INC.
Active
Other names
Wicker Park Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J TEPPER MD (OWNER)
(773) 376-2020
Entity
Organization
Contact information
Practice address
2222 W DIVISION ST, SUITE 135, CHICAGO, IL 60622-2717
(773) 376-2020
(773) 376-2227
Mailing address
2222 W DIVISION ST, SUITE 135, CHICAGO, IL 60622-2717
(773) 376-2020
(773) 376-2227
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
IL0 36096708
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096708
—
IL
Enumeration date
02/15/2008
Last updated
09/12/2018
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