Individual
DR. PRAVEEN JEYASEELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 E ONTARIO ST APT 3309B, CHICAGO, IL 60611-8401
(443) 962-5153
Mailing address
333 E ONTARIO ST APT 3309B, CHICAGO, IL 60611-8401
(443) 962-5153
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
ME148721
FL
Other
Enumeration date
08/02/2019
Last updated
04/28/2021
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