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General NPI Number Information
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NPI Number | 1346114626
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Entity Type | Organization
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Legal Business Name | PILSEN EYE CARE
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1801 S RACINE AVE
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City | CHICAGO
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State | IL
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Zip | 60608-3777
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Country | US
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Telephone | 773-257-0355
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Fax | 773-257-0655
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Provider Business Mailing Address
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Address Line | 1801 S RACINE AVE
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City | CHICAGO
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State | IL
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Zip | 60608-3777
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Country | US
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Telephone | 773-257-0355
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Fax | 773-257-0655
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAMANDEEP K PUREWAL
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Credential | OD
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Telephone | 773-257-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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