Individual
PATRICK TAKATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 SKOKIE BLVD, WILMETTE, IL 60091-3050
(847) 251-3330
(847) 251-9580
Mailing address
120 SKOKIE BLVD, WILMETTE, IL 60091-3050
(847) 251-3330
(847) 251-9580
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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