| Vishal K Patel Od Pc | |
|
137 W North Ave, Northlake, IL 60164-2316 | |
| (847) 501-0319 | |
| Not Available |
| Full Name | Vishal K Patel Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 137 W North Ave, Northlake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669938148 | NPI | - | NPPES |
| 046010655 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Vishal K Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427499797 PECOS PAC ID: 9830416726 Enrollment ID: I20150403000418 |
| Mailing Address | Practice Location Address |
|---|---|
| Vishal K Patel Od Pc 1802 E Basswood Ln, Mt Prospect, IL 60056-1810 Ph: (847) 501-0319 | Vishal K Patel Od Pc 137 W North Ave, Northlake, IL 60164-2316 Ph: (847) 501-0319 |
Diane G Forecki, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 137 W North Ave, Northlake, IL 60164 Phone: 708-409-0047 | |
Dr. Vishal K Patel, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 137 W North Ave, Vision Center, Northlake, IL 60164 Phone: 708-409-0047 | |
Frederick John Fagan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 141 W North Ave, Northlake, IL 60164 Phone: 708-492-1425 |