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NPI Code Detail

MEDICARE: BIREN PATEL OPTOMETRY LLC

MEDICARE: BIREN PATEL OPTOMETRY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1417609439
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIREN PATEL OPTOMETRY LLC
Provider Business Mailing Address
First Line : 1824 CHURCHILL LN
Second Line :
City : GLENDALE HEIGHTS
State : IL
Zip : 60139-1303
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1824 CHURCHILL LN
Second Line :
City : GLENDALE HEIGHTS
State : IL
Zip : 60139-1303
Country : US
Telephone Number : 630-998-0948
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : BIREN PATEL
Credential : OD
Telephone Number : 630-998-0948
Provider Enumeration Date : 01/20/2022
Last Update Date : 06/06/2024

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Directions to “BIREN PATEL OPTOMETRY LLC ” Practice Location

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