George L Enriquez SR. DPM

NPI 1073680203 - Podiatrist - 213ES0103X

NPI Details
NPI 1073680203
Gender Male
Enumeration Date 11/30/2006
Last Updated 07/24/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
736 W 35TH ST
CHICAGO IL, 60616-4484, US
Phone (847) 390-7666
Fax (847) 390-9345
Business Location
1455 E GOLF RD
SUITE 110
DES PLAINES IL, 60016-1250, US
Phone (847) 390-7666
Fax (847) 390-9345
Toxanomy
Taxonomy Code 213ES0103X
License State Illinois
License Number 016003880
Remove 1073680203 NPI Number
 

According to our database, George L Enriquez SR. DPM NPI is 1073680203, taxonomy code is 213ES0103X and license number is 016003880, license state is located at Illinois. George L Enriquez SR. DPM physically located at 736 W 35th St, Chicago IL, 60616-4484. NPI Number George L Enriquez SR. DPM has the Individual type.

Sponsored links

1073680203 NPI number is provided on an as is basis without warranty of any kind. 1073680203 is maintained by the National Plan & Provider Enumeration System. The contents of George L Enriquez SR. DPM are for informational purposes only.