Disomma Foot & Ankle Clinic Pc in Oak Park - Podiatrist
Disomma Foot & Ankle Clinic Pc - NPI 1285621235
Disomma Foot & Ankle Clinic Pc is a Podiatrist in Oak Park, Illinois. Disomma Foot & Ankle Clinic Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Disomma Foot & Ankle Clinic Pc is 1285621235. The last update date is 2013-07-17.
Disomma Foot & Ankle Clinic Pc's current location address is 1100 Lake St, Oak Park, Illinois. You can contact this provider via phone number 7083835554 and fax number 7083839321. The mailing address for Disomma Foot & Ankle Clinic Pc is 1100 Lake St, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Disomma Foot & Ankle Clinic Pc |
|---|---|
| Address | 1100 Lake St, Oak Park, Illinois |
| Phone Number | 7083835554 |
| Fax Number | 7083839321 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Disomma M Mary |
| Credentials | DPM |
| Telephone Number | 7083835554 |
NPI Number Detail
| NPI Number | 1285621235 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2013-07-17 |
Provider Mailing Address Detail
| Address | 1100 Lake St |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603011015 |
| Phone Number | 7083835554 |
| Fax Number | 7083839321 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16004585 |
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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 |
|---|---|---|---|
| 16004585 | IL | -- |
Post Comment/ Review Below
What is the Disomma Foot & Ankle Clinic Pc's 1285621235?
The Disomma Foot & Ankle Clinic Pc's NPI (National Provider Identifier) Number is 1285621235. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Disomma Foot & Ankle Clinic Pc's facilities are geographically located?
The facilities of Disomma Foot & Ankle Clinic Pc are physically situated at the following location: 1100 Lake St, Oak Park, IL, 603011015.
What is the area of specialization for Disomma Foot & Ankle Clinic Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Disomma Foot & Ankle Clinic Pc is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
When did the Disomma Foot & Ankle Clinic Pc receive its 1285621235?
The Disomma Foot & Ankle Clinic Pc was issued its 1285621235 on 2005-10-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Disomma Foot & Ankle Clinic Pc last refreshed?
The information related to the Disomma Foot & Ankle Clinic Pc, including its address, specialty, and other relevant details, was last updated on 2013-07-17.