Puja Patel, | |
4663 W 95th St, Oak Lawn, IL 60453-2540 | |
(708) 636-0600 | |
(708) 636-0606 |
Full Name | Puja Patel |
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Gender | Female |
Speciality | Optometrist |
Location | 4663 W 95th St, Oak Lawn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568041978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 46011605 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Provider Name | Harold E Davis & Terry Alan Trust Etal |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265621361 PECOS PAC ID: 1456422070 Enrollment ID: O20080625000134 |
Mailing Address | Practice Location Address |
---|---|
Puja Patel, 2106 N Frolic Ave, Waukegan, IL 60087-3592 Ph: (847) 338-7028 | Puja Patel, 4663 W 95th St, Oak Lawn, IL 60453-2540 Ph: (708) 636-0600 |
Dr. Jennifer L Redmond, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4445 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-6500 Fax: 708-425-1455 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10550 S Cicero Ave, Oak Lawn, IL 60453 Phone: 708-499-3911 | |
Dr. Austin William Toresdahl, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6201 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-9393 Fax: 708-636-2022 | |
Dr. Stephanie Garza, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4663 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-0600 | |
Drs. Leahy & Disalvo-ost, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 4445 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-6500 Fax: 708-425-1455 | |
Dr. Bradley R. Cogswell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4663 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-0600 Fax: 708-636-0606 | |
Dr. Jennifer Buschbach, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6201 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-9393 Fax: 708-636-2022 |