Individual
RASA TAMULAVICHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2500 W 95TH ST, WALMART VISION CENTER, EVERGREEN PARK, IL 60805-2807
(708) 229-0946
(708) 229-0973
Mailing address
PO BOX 16974, CHICAGO, IL 60616-0980
(312) 550-7034
(708) 229-0973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009691
IL
Other
Enumeration date
10/15/2006
Last updated
01/16/2019
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