Individual
PAYAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5765 NORTHWEST HWY, VISIONWORKS, CRYSTAL LAKE, IL 60014-8042
(847) 791-0396
Mailing address
5765 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-8042
(847) 791-0396
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13663
CA
Other
Enumeration date
03/11/2009
Last updated
07/12/2009
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