Organization
LILAS EYE CARE AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFFIE LILAS O.D. (OPTOMETRIST)
(708) 935-5100
Entity
Organization
Contact information
Practice address
14706 S LA GRANGE RD, ORLAND PARK, IL 60462-3227
(708) 403-7895
Mailing address
15509 NOLAN CT, HOMER GLEN, IL 60491-7432
(708) 403-7895
(708) 403-9260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010018
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376736769
TYPE 1 INDIVIDUAL NPI
IL
Enumeration date
12/31/2012
Last updated
02/28/2013
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