ILYA'S OPTICAL INC. NPI 1437326808

NPI Information

ILYA'S OPTICAL INC. is a durable medical equipment medical supplies in Chicago, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ILYA'S OPTICAL INC. NPI is 1437326808. The provider is registered as an organization entity type.

The provider's business location address is:

1056 W WILSON AVE
CHICAGO, IL
ZIP 60640-622
Phone: (773) 271-5774
Fax: (773) 878-5398

The provider's authorized official is David D Dewaard .
The authorized official title is Owner/president and has the following contact phone number (773) 271-5774.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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