Organization
KENILWORTH OPTICAL CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHAN C NAGPAL M.D. (VICE PRESIDENT)
(630) 832-3055
Entity
Organization
Contact information
Practice address
135 S ROBERT T PALMER DR, SUITE 25, ELMHURST, IL 60126-3412
(630) 832-3055
(630) 832-0927
Mailing address
135 S ROBERT T PALMER DR, SUITE 25, ELMHURST, IL 60126-3412
(630) 832-3055
(630) 832-0927
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1149-7051
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066393001
KRISHAN C NAGPAL, MD
IL
Enumeration date
10/26/2006
Last updated
06/04/2009
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