Individual
MARIANNA BILIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3500 W PETERSON AVE, SUITE 401, CHICAGO, IL 60659-3306
(773) 588-3090
(773) 588-3210
Mailing address
3917 CHARLIE CT, GLENVIEW, IL 60026
(773) 792-1011
(773) 889-0224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008924
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008924
—
IL
01
—
P00210269
RAILROAD MEDICARE
IL
Enumeration date
03/14/2006
Last updated
03/30/2017
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