Individual
MS. JANKI DINESH CHANDRAVADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2181 ORANGE AVE E, TALLAHASSEE, FL 32311-6144
(850) 878-0191
Mailing address
3711 W LAWRENCE AVE, CHICAGO, IL 60625-5712
(773) 583-5727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011555
IL
Other
Enumeration date
07/29/2021
Last updated
06/15/2022
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