Illinois Glaucoma Center, Ltd

NPI #1265706956 in Mokena, Illinois

Provider Information

NPI Number: 1265706956
Entity Type: Organization
Organization Name: Illinois Glaucoma Center, Ltd
Primary Specialty: Ophthalmology
Enumeration Date: Feb 28, 2012
Last Updated: Mar 14, 2017

Practice Location

Address: 9980 W 190TH ST
Address 2: SUITE D
City: Mokena
State: Illinois
ZIP Code: 60448-8187
Phone: (708) 429-3937

Authorized Official

Name: LILI FARROKH-SIAR, M.D.
Title: OWNER
Phone: (312) 949-7278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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