Kenilworth Optical Co INC

NPI #1134204175 in Elmhurst, Illinois

Provider Information

NPI Number: 1134204175
Entity Type: Organization
Organization Name: Kenilworth Optical Co INC
Primary Specialty: Ophthalmology
Enumeration Date: Oct 26, 2006
Last Updated: Jun 4, 2009

Practice Location

Address: 135 S ROBERT T PALMER DR
Address 2: SUITE 25
City: Elmhurst
State: Illinois
ZIP Code: 60126-3412
Phone: (630) 832-3055

Authorized Official

Name: KRISHAN C NAGPAL, M.D.
Title: VICE PRESIDENT
Phone: (630) 832-3055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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