Individual
NIKULKUMAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1101 S CANAL ST, SUITE 108, CHICAGO, IL 60607-4901
(312) 588-0159
Mailing address
9120 HOLLYBERRY AVE, DES PLAINES, IL 60016-4218
(312) 804-5345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010452
IL
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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