Individual provider · Type 1 NPI

Malcolm Dugro Herzog, D.P.M.

Foot & Ankle Surgery Podiatrist · Chicago, IL

NPI number 1356450415 Active

Practice location

5241 S Cicero Ave, Suite 103
Chicago, IL 60632-4967

Fax (773) 284-6431

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1356450415

Malcolm Dugro Herzog, D.P.M.'s National Provider Identifier is 1356450415, issued on Aug 30, 2006. 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 Jul 8, 2007.