Kush Patel, | |
134 E Blackhawk Dr, Byron, IL 61010-8610 | |
(815) 234-2020 | |
Not Available |
Full Name | Kush Patel |
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Gender | Male |
Speciality | Optometrist |
Location | 134 E Blackhawk Dr, Byron, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659195436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046.011934 (Illinois) | Primary |
Provider Name | Christina J. Levi O D P C. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477703411 PECOS PAC ID: 9436210762 Enrollment ID: O20081205000160 |
Mailing Address | Practice Location Address |
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Kush Patel, 134 E Blackhawk Dr, Byron, IL 61010-8610 Ph: () - | Kush Patel, 134 E Blackhawk Dr, Byron, IL 61010-8610 Ph: (815) 234-2020 |
Susan M Penner Optometrist Medicare: Not Enrolled in Medicare Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 Fax: 815-234-7070 | |
Eyecare Dimensions Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 Fax: 815-234-7070 | |
Susan M Penner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 Fax: 815-234-7070 |