Individual
DR. RACHANA SURESH PATEL-GARUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
811 CHURCH ST, EVANSTON, IL 60201-3706
(847) 425-0086
Mailing address
811 CHURCH ST, EVANSTON, IL 60201-3706
(847) 425-0086
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.009928
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009928
—
IL
01
—
7215175
BCBS
IL
01
—
P00434967
MEDICARE RAILROAD
IL
Enumeration date
11/08/2006
Last updated
01/11/2020
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