Organization
PANICKER OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAISON PANICKER (OPTOMETRIST)
(630) 479-3411
Entity
Organization
Contact information
Practice address
1300 DES PLAINES AVE, FOREST PARK, IL 60130-2507
(708) 488-0383
Mailing address
793 BARCLAY DR, BOLINGBROOK, IL 60440-6105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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