| Kishan Pankaj Patel, OD | |
|
4214 N Harlem Ave, Norridge, IL 60706-1293 | |
| (708) 453-7005 | |
| Not Available |
| Full Name | Kishan Pankaj Patel |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 4214 N Harlem Ave, Norridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952180374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046011796 (Illinois) | Primary |
| Provider Name | Visionworks Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831115906 PECOS PAC ID: 4385639616 Enrollment ID: O20040923001173 |
| Mailing Address | Practice Location Address |
|---|---|
| Kishan Pankaj Patel, OD 3430 Clearbrook Ct, Saugatuck, MI 49453-9488 Ph: (201) 360-1671 | Kishan Pankaj Patel, OD 4214 N Harlem Ave, Norridge, IL 60706-1293 Ph: (708) 453-7005 |
Dr. John Joseph Sterczek, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4156e N Harlem Ave, Norridge, IL 60706 Phone: 708-456-2271 Fax: 708-456-2297 | |
Jem Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4259 N Harlem Ave, Norridge, IL 60706 Phone: 708-457-2292 Fax: 708-457-1085 | |
Agata E Majewski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4214 N Harlem Ave, Harlem-irving Plaza Shopping Center, Norridge, IL 60706 Phone: 708-453-6644 Fax: 708-452-9532 | |
Dr. Sadie Sholl, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4214 N Harlem Ave, Norridge, IL 60706 Phone: 708-453-7005 | |
Tea Dimo, Optometrist Medicare: Medicare Enrolled Practice Location: 4628 N Ozark Ave, Norridge, IL 60706 Phone: 773-829-6355 | |
Jeannie Xie, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4214 N Harlem Ave, Norridge, IL 60706 Phone: 708-453-7005 | |
Encore Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4259 N Harlem Ave, Norridge, IL 60706 Phone: 708-457-2292 |