# LOTUS EYECARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wicker Park Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699943316
- **Authorized official:** DR. DANIEL J TEPPER MD (OWNER)
- **Authorized official phone:** (773) 376-2020

## Contact information

- **Practice address:** 2222 W DIVISION ST, SUITE 135, CHICAGO, IL 60622-2717
- **Practice address phone:** (773) 376-2020
- **Practice address fax:** (773) 376-2227
- **Mailing address:** 2222 W DIVISION ST, SUITE 135, CHICAGO, IL 60622-2717
- **Mailing address phone:** (773) 376-2020
- **Mailing address fax:** (773) 376-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | IL0 36096708 | IL | Yes |

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 09/12/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036096708 | — | IL |