Organization
LOIS POLATNICK, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SANCHEZ (BILLING MANAGER)
(630) 424-1122
Entity
Organization
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657
(773) 665-3080
Mailing address
2552 SUTTON LANE, AURORA, IL 60502
(630) 424-1122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01626789
BCBS OF IL PROVIDER NO.
IL
Enumeration date
05/03/2007
Last updated
06/25/2008
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