Organization · Type 2 NPI
Edgebrook Foot & Ankle Clinic, Inc
Foot & Ankle Surgery Podiatrist · Chicago, IL
NPI number
1306071972
Active
Practice location
5330 W Devon Ave, Suite 10
Chicago, IL 60646-4148
Fax (773) 792-9302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016.005386 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
4 other providers at this address
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About NPI 1306071972
Edgebrook Foot & Ankle Clinic, Inc's National Provider Identifier is 1306071972, issued on May 26, 2009. 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 Jun 8, 2012.