Plainfield Vision Center LLC

NPI #1194016717 in Countryside, Illinois

Provider Information

NPI Number: 1194016717
Entity Type: Organization
Organization Name: Plainfield Vision Center LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 30, 2011
Last Updated: Apr 30, 2011

Practice Location

Address: 5501 W PLAINFIELD RD
City: Countryside
State: Illinois
ZIP Code: 60525-3591
Phone: (708) 482-7744

Authorized Official

Name: DR. KETAN SHELADIA, O.D.
Title: PRESIDENT
Phone: (708) 482-7744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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