Lily Li, OD | |
2343b S Wentworth Ave, Chicago, IL 60616-2013 | |
(312) 225-5829 | |
Not Available |
Full Name | Lily Li |
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Gender | Female |
Speciality | Optometrist |
Location | 2343b S Wentworth Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649611831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046.010733 (Illinois) | Secondary |
152W00000X | Optometrist | TUV008032-1 (New York) | Primary |
Provider Name | Mount Tabor Medical Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356123947 PECOS PAC ID: 0749638021 Enrollment ID: O20231127002694 |
Provider Name | Jacob C Shafran Optometry Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871351155 PECOS PAC ID: 9032557145 Enrollment ID: O20240409003227 |
Mailing Address | Practice Location Address |
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Lily Li, OD 1456 S Peoria St, Chicago, IL 60608-2208 Ph: () - | Lily Li, OD 2343b S Wentworth Ave, Chicago, IL 60616-2013 Ph: (312) 225-5829 |
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199 | |
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175 | |
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309 | |
Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024 | |
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176 | |
Dr. David D Dewaard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1056 W Wilson Ave, Chicago, IL 60640 Phone: 773-271-5774 |