Fahed Nazem Elchami DPM

NPI 1013300839 - Podiatrist - 213ES0103X

NPI Details
NPI 1013300839
Gender Male
Enumeration Date 03/18/2015
Last Updated 03/22/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
711 W RAVINWOODS RD
PEORIA IL, 61615-1353, US
Phone (130) 925-3401
Fax
Business Location
711 W RAVINWOODS RD
PEORIA IL, 61615, US
Phone (130) 253-4016
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State New York
License Number 65 P88839
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According to our database, Dr. Fahed Nazem Elchami DPM NPI is 1013300839, taxonomy code is 213ES0103X and license number is 65 P88839, license state is located at New York. Fahed Nazem Elchami DPM physically located at 711 W Ravinwoods Rd, Peoria IL, 61615-1353. NPI Number Fahed Nazem Elchami DPM has the Individual type.

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1013300839 NPI number is provided on an as is basis without warranty of any kind. 1013300839 is maintained by the National Plan & Provider Enumeration System. The contents of Fahed Nazem Elchami DPM are for informational purposes only.