Shairoz A Fazal, OD

NPI #1487867768 in Wheaton, Illinois

Provider Information

NPI Number: 1487867768
Entity Type: Individual
Name: Shairoz A Fazal, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 811 E.BUTTERFIELD ROAD STE 111
City: Wheaton
State: Illinois
ZIP Code: 60187
Phone: (630) 480-8591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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