Individual
DR. RAVI SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
280 OAKBROOK CENTER MALL, LENSCRAFTERS, OAK BROOK, IL 60523-1841
(630) 368-1609
Mailing address
280 OAKBROOK CENTER MALL, LENSCRAFTERS, OAK BROOK, IL 60523-1841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011023
IL
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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