Chicagoland Foot And Ankle Pc

NPI 1184027567 - Podiatrist - 213ES0103X

NPI Details
NPI 1184027567
Enumeration Date 09/30/2014
Last Updated 09/30/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ROBERT ROBERT
Position OWNER
Phone (708) 226-0509
Fax (708) 226-0519
Practice Location
15030 S RAVINIA AVE
SUITE 38
ORLAND PARK IL, 60462-3256, US
Phone (708) 226-0509
Fax (708) 226-0519
Business Location
3153 W 111TH ST
CHICAGO IL, 60655-2205, US
Phone (773) 239-0702
Fax (773) 239-0712
Toxanomy
Taxonomy Code 213ES0103X
License State Illinois
License Number 016005133
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According to our database, Chicagoland Foot And Ankle Pc NPI is 1184027567, taxonomy code is 213ES0103X and license number is 016005133, license state is located at Illinois. Chicagoland Foot And Ankle Pc physically located at 15030 S Ravinia Ave, Orland Park IL, 60462-3256. NPI Number 1033115704 has the healthcare provider type.

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1184027567 NPI number is provided on an as is basis without warranty of any kind. 1184027567 is maintained by the National Plan & Provider Enumeration System. The contents of Chicagoland Foot And Ankle Pc are for informational purposes only.