Ilyas Optical Inc.

NPI 1124339387 - Optometrist - 152W00000X

NPI Details
NPI 1124339387
Enumeration Date 06/23/2010
Last Updated 06/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DAVID D DAVID
Position OWNER
Phone (708) 345-4040
Fax (708) 345-5534
Practice Location
217 S 5TH AVE # B
MAYWOOD IL, 60153-1647, US
Phone (708) 345-4040
Fax (708) 345-5534
Business Location
217 S 5TH AVE # B
MAYWOOD IL, 60153-1647, US
Phone (708) 345-4040
Fax (708) 345-5534
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046007174
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According to our database, Ilyas Optical Inc. NPI is 1124339387, taxonomy code is 152W00000X and license number is 046007174, license state is located at Illinois. Ilyas Optical Inc. physically located at 217 S 5th Ave # B, Maywood IL, 60153-1647. NPI Number 1033115704 has the healthcare provider type.

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1124339387 NPI number is provided on an as is basis without warranty of any kind. 1124339387 is maintained by the National Plan & Provider Enumeration System. The contents of Ilyas Optical Inc. are for informational purposes only.