institution
Audey Nasser Podiatry, Pc
Podiatric Clinic/Center in Gurnee, Illinois
NPI 1144695263

Audey Nasser Podiatry, Pc is a Podiatric Clinic/Center based in Gurnee, IL and is specialized in Podiatric. Audey Nasser Podiatry, Pc practices in Gurnee, IL. The NPI Number for Audey Nasser Podiatry, Pc is 1144695263 and holds a License No. (Illinois).

The current practice location address for Audey Nasser Podiatry, Pc is 731 S Il Route 21 Ste 140, Gurnee, IL and can be reached out via phone at 847-295-9300 and via fax at 847-295-9607.

Location: 731 S Il Route 21 Ste 140, Gurnee, IL, 60031-3812
institution
Provider Profile Details
NPI Number
1144695263
Provider Name
Audey Nasser Podiatry, Pc
Credential
Provider Entity Type
Organization
Address
731 S Il Route 21 Ste 140, Gurnee, IL, 60031-3812
Phone Number
847-295-9300
Fax Number
847-295-9607
Provider Enumeration Date
12/01/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MI9259001 01 MI MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
731 S Il Route 21 Ste 140
City
State
Zip
60031-3812
Phone Number
847-295-9300
Fax Number
847-295-9607
person
Provider Business Mailing Address Details
Address
731 S Il Route 21 Ste 140
City
State
Zip
60031-3812
Phone Number
847-295-9300
Fax Number
847-295-9607
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901002505 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
()
Definition
Definition to come...
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