Organization
VISHAL K PATEL OD PC
Active
Parent organization
VISHAL K PATEL OD PC
Other names
ESSENTIAL EYE CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISHAL K PATEL OD PC
Authorized official
DR. VISHAL K PATEL OD (OWNER)
(847) 501-0319
Entity
Organization
Contact information
Practice address
137 W NORTH AVE, NORTHLAKE, IL 60164-2316
(847) 501-0319
Mailing address
1802 E BASSWOOD LN, MT PROSPECT, IL 60056-1810
(847) 501-0319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010655
—
IL
Enumeration date
02/20/2019
Last updated
02/20/2019
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