Organization · Type 2 NPI
River North Surgical Suite
Foot & Ankle Surgery Podiatrist · Chicago, IL
NPI number
1164541025
Active
Practice location
467 W Erie St
Chicago, IL 60610-4004
Fax (312) 337-9902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 06005134 (IL) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1164541025
River North Surgical Suite's National Provider Identifier is 1164541025, issued on Mar 29, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.