Bolingbrook Foot Specialists Ltd

NPI 1396811824 - Podiatrist - 213ES0103X

NPI Details
NPI 1396811824
Enumeration Date 11/27/2006
Last Updated 09/30/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFFREY M JEFFREY
Position OWNER
Phone (630) 759-4411
Fax (630) 759-6063
Practice Location
454 W BOUGHTON ROAD
BOLINGBROOK IL, 60440-1378, US
Phone (630) 759-4411
Fax (630) 759-6063
Business Location
454 W BOUGHTON RD SUITE A
BOLINGBROOK FOOT SPECIALISTS
BOLINGBROOK IL, 60440-1378, US
Phone (630) 759-4411
Fax (630) 759-6063
Toxanomy
Taxonomy Code 213ES0103X
License State Illinois
License Number 016002706
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According to our database, Bolingbrook Foot Specialists Ltd NPI is 1396811824, taxonomy code is 213ES0103X and license number is 016002706, license state is located at Illinois. Bolingbrook Foot Specialists Ltd physically located at 454 W Boughton Road, Bolingbrook IL, 60440-1378. NPI Number 1033115704 has the healthcare provider type.

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1396811824 NPI number is provided on an as is basis without warranty of any kind. 1396811824 is maintained by the National Plan & Provider Enumeration System. The contents of Bolingbrook Foot Specialists Ltd are for informational purposes only.