Individual provider Active NPI

Lili Farrokh-Siar, MD

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1811053069
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036108893 Issued in IL
Practice address
676 N Saint Clair St
1500
Chicago, IL 60611-2927
Phone
(312) 475-1000
Fax
(312) 475-1006
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036108893 IL Primary

Addresses

Primary practice location

676 N Saint Clair St
1500
Chicago, IL 60611-2927

Mailing address

676 N Saint Clair St
1500
Chicago, IL 60611-2927
Phone (312) 475-1000

Other identifiers 1

IdentifierTypeStateIssuer
036108893MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006001318 IL Practitioner - Ophthalmology 3678532504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9980 W 190TH St
Suite D
Mokena, IL 60448-8184
Phone (708) 429-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Jul 1, 2004 Accepting new patients
Illinois Glaucoma Center, LTD Ophthalmology CurrentSince Mar 1, 2012 Accepting new patients
The University of Chicago Medical Center CurrentSince Jul 1, 2004 Accepting new patients
University Eye Specialists LTD PastSince Jan 6, 2024 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

9980 W 190th St
Ste D
Mokena, IL 60448
Phone (708) 429-3937

1870 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 462-3474

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1811053069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "1500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-475-1000",
            "fax_number": "312-475-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "1500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-475-1000",
            "fax_number": "312-475-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROKH-SIAR",
        "first_name": "LILI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036108893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108893",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.