Individual
KISHWER SHAKEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
969 BRISTOL ST, PINGREE GROVE, IL 60140-9185
(224) 623-2060
Mailing address
969 BRISTOL ST, PINGREE GROVE, IL 60140-9185
(224) 623-2060
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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