Ilyas Optical Inc.

NPI #1124339387 in Maywood, Illinois

Provider Information

NPI Number: 1124339387
Entity Type: Organization
Organization Name: Ilyas Optical Inc.
Primary Specialty: Optometrist
Enumeration Date: Jun 23, 2010
Last Updated: Jun 23, 2010

Practice Location

Address: 217 S 5TH AVE # B
City: Maywood
State: Illinois
ZIP Code: 60153-1647
Phone: (708) 345-4040

Authorized Official

Name: DR. DAVID D DEWAARD, O.D.
Title: OWNER
Phone: (708) 345-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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