Mary M Disomma in Oak Park - Foot & Ankle Surgery
Mary M Disomma - NPI 1396806840
Mary M Disomma is a Foot & Ankle Surgery in Oak Park, Illinois. Mary M Disomma practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Mary M Disomma is 1396806840. The last update date is 2007-07-08.
Mary M Disomma'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 Mary M Disomma is 1100 Lake St, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary M Disomma |
|---|---|
| Address | 1100 Lake St, Oak Park, Illinois |
| Phone Number | 7083835554 |
| Fax Number | 7083839321 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1396806840 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
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 | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 160045851 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary M Disomma by the Centers for Medicare & Medicaid Services?
The Mary M Disomma has been assigned the NPI (National Provider Identifier) 1396806840. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary M Disomma?
The Mary M Disomma is physically situated at 1100 Lake St, in the city of Oak Park, state of IL, with the postal code 603011015.
What is Mary M Disomma's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary M Disomma is Foot & Ankle Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0103X.
On what date was the 1396806840 assigned to Mary M Disomma?
The Mary M Disomma was issued its 1396806840 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Mary M Disomma's information last updated?
The Mary M Disomma's information was last updated on 2007-07-08.