institution
Beverly Podiatry Center, Llc
Foot Surgery Podiatrist in Orland Park, Illinois
NPI 1316117211

Beverly Podiatry Center, Llc is a Foot Surgery Podiatrist based in Chicago, IL and is specialized in Foot Surgery. Beverly Podiatry Center, Llc practices in Orland Park, IL. The NPI Number for Beverly Podiatry Center, Llc is 1316117211 and holds a License No. (Illinois).

The current practice location address for Beverly Podiatry Center, Llc is 9501 W 144Th Pl, Orland Park, IL and can be reached out via phone at 708-403-3668 and via fax at 708-403-3684.

Location: 9501 W 144Th Pl, Orland Park, IL, 60643-1810
institution
Provider Profile Details
NPI Number
1316117211
Provider Name
Beverly Podiatry Center, Llc
Credential
Provider Entity Type
Organization
Address
9501 W 144Th Pl, Orland Park, IL, 60643-1810
Phone Number
708-403-3668
Fax Number
708-403-3684
Provider Enumeration Date
03/06/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01619093 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
9501 W 144Th Pl
City
State
Zip
60462-2561
Phone Number
708-403-3668
Fax Number
708-403-3684
person
Provider Business Mailing Address Details
Address
9501 W 144Th Pl
City
State
Zip
60462-2561
Phone Number
708-403-3668
Fax Number
708-403-3684
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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