Praksha Butala, OD

NPI #1447873260 in Rockford, Illinois

Provider Information

NPI Number: 1447873260
Entity Type: Individual
Name: Praksha Butala, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 27, 2020
Last Updated: May 27, 2020

Practice Location

Address: 7200 HARRISON AVE UNIT F35
City: Rockford
State: Illinois
ZIP Code: 61112-3014
Phone: (815) 332-1855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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