Charu Patel, O.D. Valid NPI
Individual provider · Optometrist · Rockford, IL
- NPI
- 1699025486
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 046010604 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-09-19
- Last updated
- 2012-09-19
Practice location
7200 Harrison Ave, Suite E265
Rockford, IL 61112-1017
(815) 332-2223