Individual
DIVYA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
835 E 162ND ST, SOUTH HOLLAND, IL 60473-2465
(732) 887-9235
Mailing address
313 W WOLF POINT PLZ UNIT 3106, CHICAGO, IL 60654-8910
(732) 887-9235
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046012078
IL
152W00000X
Optometrist
18004699A
IN
152W00000X
Optometrist
TA3010
MD
Other
Enumeration date
07/08/2024
Last updated
08/06/2026
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