Individual
RUTVI DOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4807
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4807
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010921
IL
152W00000X
Optometrist
4950
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010921
—
IL
05
—
110095898A
—
MA
Enumeration date
11/06/2012
Last updated
11/17/2016
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