Individual
MS. SONALI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
W225N16711 CEDAR PARK CT, JACKSON, WI 53037-9222
(262) 677-1101
(262) 677-0121
Mailing address
W225N16711 CEDAR PARK CT, JACKSON, WI 53037-9222
(262) 677-1101
(262) 677-0121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.010774
IL
152W00000X
Optometrist
Primary
18004015A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300002146
—
IN
Enumeration date
06/06/2014
Last updated
11/10/2020
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