Patel, Grishma Premal
Patel, Grishma Premal is an sole proprietor health care provider with primary practice located at 1325 N Main St , Wheaton IL 60187-3579. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Patel, Grishma Premal can be contacted via phone (630) 668-4144.Contact Information
Primary practice address
1325 N Main St
Wheaton IL 60187-3579
Phone: (630) 668-4144
Fax: (630) 668-7559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 046-009678 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046009678 | Illinois |
Profile Details
| NPI number | 1164622874 |
|---|---|
| LBN Legal business name | Patel, Grishma Premal |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Feb 21st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164622874 | NPPES |
| Illinois | MEDICAID | 046009678 |
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