Organization
KISH OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KISHWER SHAKEEL (PRESIDENT)
(224) 623-2060
Entity
Organization
Contact information
Practice address
969 BRISTOL ST, PINGREE GROVE, IL 60140-9185
(224) 623-2060
Mailing address
969 BRISTOL ST, PINGREE GROVE, IL 60140-9185
(224) 623-2060
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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