Organization
AMI PATEL OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA COLLIER (ADMINISTRATOR)
(815) 634-8597
Entity
Organization
Contact information
Practice address
1200 E 53RD ST, CHICAGO, IL 60615-4008
(773) 493-8372
(773) 493-9485
Mailing address
1200 E 53RD ST, CHICAGO, IL 60615-4008
(773) 493-8372
(773) 493-9485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010011
IL
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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