Individual
DR. PEPSI SATPAL SARAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1116 W TAYLOR ST, CHICAGO, IL 60607-4214
(312) 829-6173
(312) 829-3504
Mailing address
1116 W TAYLOR ST, CHICAGO, IL 60607-4214
(312) 829-6173
(312) 829-3504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009595
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636791
BLUE CROSS BLUE SHIELD
IL
01
—
046-009595
STATE LICENSE #
IL
01
—
7008587
AETNA
IL
01
—
9485960
MULTIPLAN
—
01
—
IL9595
EYEMED VISION CARE
IL
Enumeration date
12/14/2006
Last updated
04/29/2010
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