Individual
PRASOD C RAMACHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3624 W 26TH ST, CHICAGO, IL 60623
(773) 762-5662
(773) 762-0721
Mailing address
3624 W 26TH ST, CHICAGO, IL 60623
(773) 762-5662
(773) 762-0721
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008787
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008787
—
IL
Enumeration date
12/05/2006
Last updated
08/10/2012
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