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George L Enriquez SR., DPM
Podiatrist in Bannockburn, Illinois
NPI 1073680203

George L Enriquez SR. is a Podiatrist based in Mt Prospect, IL. George L Enriquez SR. practices in Bannockburn, IL and has the professional credentials of DPM. The NPI Number for George L Enriquez SR. is 1073680203 and holds a License No. 016003880 (Illinois).

The current practice location address for George L Enriquez SR. is 2101 Waukegan Rd Ste 203, Bannockburn, IL and can be reached out via phone at 847-390-7666 and via fax at 847-390-9345.

Location: 2101 Waukegan Rd Ste 203, Bannockburn, IL, 60056-6023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073680203
Provider Name
George L Enriquez SR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2101 Waukegan Rd Ste 203, Bannockburn, IL, 60056-6023
Phone Number
847-390-7666
Fax Number
847-390-9345
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016003880 05 IL
institution
Provider Business Practice Location Address Details
Address
2101 Waukegan Rd Ste 203
City
Bannockburn
State
Illinois
Zip
60015-1836
Phone Number
847-390-7666
Fax Number
847-390-9345
person
Provider Business Mailing Address Details
Address
2101 Waukegan Rd Ste 203
City
Bannockburn
State
Illinois
Zip
60015-1836
Phone Number
847-390-7666
Fax Number
847-390-9345
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016003880 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016003880 (Illinois)
Definition
Definition to come...
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