PRAYAG D SHAH

ROCKFORD, IL
NPI1720072184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046009516)
Enumeration Date2005-08-31
Last Update Date2014-10-05
Business Address
-- PRAYAG D SHAH OD
575 S PERRYVILLE RD
ROCKFORD, IL 61108-2530
Phone number: 815-315-9358
Mailing Address
-- PRAYAG D SHAH OD
575 S PERRYVILLE RD
ROCKFORD, IL 61108-2530
Phone number: 815-315-9358