Mercado Foot And Ankle Clinics South in Berwyn - Podiatrist
Mercado Foot And Ankle Clinics South - NPI 1790783736
Mercado Foot And Ankle Clinics South is a Podiatrist in Berwyn, Illinois. Mercado Foot And Ankle Clinics South practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mercado Foot And Ankle Clinics South is 1790783736. The last update date is 2010-01-28.
Mercado Foot And Ankle Clinics South's current location address is 3245 Grove Ave, Berwyn, Illinois. You can contact this provider via phone number 7084843599 and fax number 7087490727. The mailing address for Mercado Foot And Ankle Clinics South is 3245 Grove Ave, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mercado Foot And Ankle Clinics South |
|---|---|
| Address | 3245 Grove Ave, Berwyn, Illinois |
| Phone Number | 7084843599 |
| Fax Number | 7087490727 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PODIATRIST |
|---|---|
| Authorized Official Name | Mercado-Ciessau M. Cynthia |
| Credentials | DPM |
| Telephone Number | 7084843599 |
NPI Number Detail
| NPI Number | 1790783736 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2010-01-28 |
Provider Mailing Address Detail
| Address | 3245 Grove Ave |
|---|---|
| City | Berwyn |
| State | Illinois (IL) |
| Post Code | 6040234740 |
| Phone Number | 7084843599 |
| Fax Number | 7087490727 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16004482 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16004482 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mercado Foot And Ankle Clinics South?
The Mercado Foot And Ankle Clinics South has been issued the NPI (National Provider Identifier) 1790783736 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mercado Foot And Ankle Clinics South?
The Mercado Foot And Ankle Clinics South is physically situated at 3245 Grove Ave, in the city of Berwyn, state of IL, with the postal code 6040234740.
What is Mercado Foot And Ankle Clinics South's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mercado Foot And Ankle Clinics South is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790783736 to Mercado Foot And Ankle Clinics South?
The Mercado Foot And Ankle Clinics South received its 1790783736 assignment from the Centers for Medicare & Medicaid Services on 2005-07-13.
When was the information regarding Mercado Foot And Ankle Clinics South most recently updated?
The details pertaining to the Mercado Foot And Ankle Clinics South, including its address, specialty, and other relevant information, were last refreshed on 2010-01-28.