Organization
RASA TAMULAVICHUS OD PC
Active
Other names
rasa tamulavichus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASA TAMULAVICHUS OD (OWNER)
(312) 550-7034
Entity
Organization
Contact information
Practice address
2500 W 95TH ST, WALMART VISION CENTER, EVERGREEN PARK, IL 60805-2807
(708) 229-0946
Mailing address
912 N HERMITAGE AVE UNIT 3, CHICAGO, IL 60622-5002
(312) 550-7034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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