Individual
DR. GRISHMA PREMAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1325 N MAIN ST, WHEATON, IL 60187-3579
(630) 668-4144
(630) 668-7559
Mailing address
1325 N MAIN ST, WHEATON, IL 60187-3579
(630) 668-4144
(630) 668-7559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009678
IL
152WC0802X
Corneal and Contact Management Optometrist
046-009678
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009678
—
IL
Enumeration date
07/20/2007
Last updated
02/21/2024
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