is a Podiatrist in Morton Grove, Illinois. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for is 1356392906. The last update date is .
's current location address is 9000 Waukegan Rd, Morton Grove, Illinois. You can contact this provider via phone number 8473753000. The mailing address for is 9000 Waukegan Rd, Morton Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 9000 Waukegan Rd, Morton Grove, Illinois |
| Phone Number | 8473753000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356392906 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 9000 Waukegan Rd |
|---|---|
| City | Morton Grove |
| State | Illinois (IL) |
| Post Code | 6005321110 |
| Phone Number | 8473753000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 016-004622 |
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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 |
|---|---|---|---|
| 016-004622 | IL | -- |
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