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General NPI Number Information
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NPI Number | 1740568724
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Entity Type | Organization
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Legal Business Name | EYE PLACE OF SCHAUMBURG LLC
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 113 E SCHAUMBURG RD
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City | SCHAUMBURG
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State | IL
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Zip | 60194-3518
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Country | US
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Telephone | 630-635-2612
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Fax | 630-635-2654
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Provider Business Mailing Address
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Address Line | 113 E SCHAUMBURG RD
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City | SCHAUMBURG
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State | IL
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Zip | 60194-3518
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Country | US
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Telephone | 630-635-2612
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Fax | 630-635-2654
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. SNEHALI A UPADHYAY
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Credential | OD
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Telephone | 630-635-2612
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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 | IL
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