Organization · Type 2 NPI
Complete Innovative Care Co
Foot & Ankle Surgery Podiatrist · Addison, IL
NPI number
1003632126
Active
Practice location
274 W North Ave
Addison, IL 60101-4910
Mailing address
5475 Broadway # 311
Merrillville, IN 46410-1647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Other foot & ankle surgery podiatrist providers in Addison
About NPI 1003632126
Complete Innovative Care Co's National Provider Identifier is 1003632126, issued on Nov 25, 2024. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Addison, IL. The record was last updated on Nov 25, 2024.