Organization
HALSTED VISION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR PATEL OD (OPTOMETRIST)
(630) 205-9505
Entity
Organization
Contact information
Practice address
18234 HALSTED ST, HOMEWOOD, IL 60430-2508
(708) 798-7711
Mailing address
18234 HALSTED ST, HOMEWOOD, IL 60430-2508
(708) 798-7711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009715
IL
Other
Enumeration date
08/14/2018
Last updated
11/29/2023
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