Individual
LILY LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2343B S WENTWORTH AVE, CHICAGO, IL 60616-2013
(312) 225-5829
Mailing address
1456 S PEORIA ST, CHICAGO, IL 60608-2208
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.010733
IL
152W00000X
Optometrist
Primary
TUV008032-1
NY
Other
Enumeration date
07/16/2013
Last updated
03/17/2018
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