PRAKSHA BUTALA

ROCKFORD, IL
NPI1447873260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046011406)
Enumeration Date2020-05-27
Last Update Date2020-05-27
Business Address
PRAKSHA BUTALA OD
7200 HARRISON AVE UNIT F35
ROCKFORD, IL 61112-3014
Phone number: 815-332-1855
Mailing Address
PRAKSHA BUTALA OD
7200 HARRISON AVE UNIT F35
ROCKFORD, IL 61112-3014
Phone number: