Individual
SHIVANI KAMLESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E OGDEN AVE, NAPERVILLE, IL 60563-8616
(630) 355-9080
(630) 355-9179
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011700
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
07/20/2022
Last updated
10/05/2022
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