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Individual

DR. VANDANA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1926 W IRVING PARK RD, CHICAGO, IL 60613-2408
(773) 525-0952
(773) 525-0966
Mailing address
1926 W IRVING PARK RD, CHICAGO, IL 60613-2408
(773) 525-0952
(773) 525-0966

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010198
IL
152W00000X
Optometrist
2760
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1600854
BCBS OF IL
IL
Enumeration date
10/15/2008
Last updated
08/28/2013
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