Provider Demographics
NPI:1578875159
Name:PATEL, ROSHNEE (OD)
Entity Type:Individual
Prefix:DR
First Name:ROSHNEE
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 BLUE HERON CIR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-2307
Mailing Address - Country:US
Mailing Address - Phone:630-380-4990
Mailing Address - Fax:630-582-1855
Practice Address - Street 1:151 BARRINGTON RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-4800
Practice Address - Country:US
Practice Address - Phone:847-781-8050
Practice Address - Fax:847-781-8059
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046010538152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist