Organization
PLAINFIELD VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETAN SHELADIA O.D. (PRESIDENT)
(708) 482-7744
Entity
Organization
Contact information
Practice address
5501 W PLAINFIELD RD, COUNTRYSIDE, IL 60525-3591
(708) 482-7744
Mailing address
5501 W PLAINFIELD RD, COUNTRYSIDE, IL 60525-3591
(708) 482-7744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009646
IL
Other
Enumeration date
04/30/2011
Last updated
04/30/2011
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