Organization · Type 2 NPI
Edgewater Beach Foot and Ankle Center, P.c.
Primary Podiatric Medicine Podiatrist · Chicago, IL
NPI number
1780801548
Active
Practice location
5331 N Sheridan Rd
Chicago, IL 60640-2531
Fax (484) 723-7350
Mailing address
800 Austin St Ste 508
Evanston, IL 60202-3445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 016002871 (IL) |
Primary Podiatric Medicine Podiatrist: Definition to come...
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About NPI 1780801548
Edgewater Beach Foot and Ankle Center, P.c.'s National Provider Identifier is 1780801548, issued on Apr 20, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Chicago, IL. The record was last updated on Jul 27, 2020.