Individual
DR. TANYA HALIKIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5450 WOLF RD, WESTERN SPRINGS, IL 60558-1852
(312) 949-7168
Mailing address
5450 WOLF RD, WESTERN SPRINGS, IL 60558-1852
(708) 820-2020
(708) 820-0321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009983
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009983
—
IL
Enumeration date
07/10/2007
Last updated
02/23/2018
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