Individual
MRS. KATHY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1809 RALEIGH LN, HOFFMAN ESTATES, IL 60169
(847) 123-4567
Mailing address
1809 RALEIGH LANE, HOFFMAN ESTATES, IL 60169-2407
(847) 123-4567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009970
IL
Other
Enumeration date
06/29/2007
Last updated
06/07/2018
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