Individual
DR. SHREY Y PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(800) 360-8387
Mailing address
100 JILL LN, STREAMWOOD, IL 60107-1147
(224) 246-6605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011405
IL
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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