Individual
VAKISHAN NADARAJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
(630) 743-4537
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
(630) 743-4537
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011307
IL
152W00000X
Optometrist
34008TLG
CA
Other
Enumeration date
05/24/2018
Last updated
08/27/2019
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