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Individual

DR. VISHAL K PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
137 W NORTH AVE, VISION CENTER, NORTHLAKE, IL 60164-2316
(708) 409-0047
Mailing address
1802 E BASSWOOD LN, MOUNT PROSPECT, IL 60056-1810

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010655
IL

Other

Enumeration date
07/15/2013
Last updated
06/24/2016
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