Provider Demographics
NPI:1871631267
Name:SCHILLMAN, LAUREY LIZABETH (OD)
Entity Type:Individual
Prefix:DR
First Name:LAUREY
Middle Name:LIZABETH
Last Name:SCHILLMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18155 ROY ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-2376
Mailing Address - Country:US
Mailing Address - Phone:708-474-7574
Mailing Address - Fax:708-474-4777
Practice Address - Street 1:3224 RIDGE RD STE 102
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3191
Practice Address - Country:US
Practice Address - Phone:708-895-4422
Practice Address - Fax:708-895-4482
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046008066152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU-41698Medicare UPIN