# ELIGIJUS P. LELIS M.D. & ASSOCIATES, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spectrum Eye Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700830957
- **Authorized official:** DR. ELIGIJUS P LELIS MD (PRESIDENT)
- **Authorized official phone:** (815) 729-3777

## Contact information

- **Practice address:** 963 N 129TH INFANTRY DR, STE 110, JOLIET, IL 60435-3103
- **Practice address phone:** (815) 729-3777
- **Practice address fax:** (815) 725-9358
- **Mailing address:** 963 N. 129TH INFANTRY DR, SUITE 110, JOLIET, IL 60435-3103
- **Mailing address phone:** (815) 729-3777
- **Mailing address fax:** (815) 725-9358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 05/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0009919581 | BLUE CROSS BLUE SHIELD IL | IL |
| 01 | — | CG9902 | RR MEDICARE | IL |