NPI 1073947016

Patrick Takata

Practitioner Optician Wilmette, IL

Practice location

Address: 120 Skokie Blvd, Wilmette, IL 60091-3050
Phone: (847) 251-3330
Fax: (847) 251-9580

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Illinois →

Registry record

NPI: 1073947016
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Aug 2013
Record last updated: 27 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.