Individual
SONAL R. PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3878
(312) 225-6200
(312) 949-7389
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3878
(312) 225-6200
(312) 949-7389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009969
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K02670
MEDICARE PTAN
IL
Enumeration date
07/18/2007
Last updated
04/18/2012
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