Individual
DR. FORUM PURNENDU DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1070 E OAKTON ST, DES PLAINES, IL 60018-2033
(847) 294-6722
Mailing address
1070 E OAKTON ST, DES PLAINES, IL 60018-2033
(847) 294-6722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010886
IL
Other
Enumeration date
07/21/2015
Last updated
11/08/2016
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