Individual
DR. JANAKI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2316 N CLARK ST, CHICAGO, IL 60614-7760
(630) 669-4069
Mailing address
2316 N CLARK ST, CHICAGO, IL 60614-7760
(630) 669-4069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010648
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636706
BCBS OF IL
IL
05
—
046010648
—
IL
Enumeration date
06/04/2013
Last updated
11/19/2016
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