person
Dr. Mary M Disomma, DPM
Foot & Ankle Surgery Podiatrist in Oak Park, Illinois
NPI 1396806840

Mary M Disomma is a Foot & Ankle Surgery Podiatrist based in Oak Park, IL and is specialized in Foot & Ankle Surgery. Mary M Disomma practices in Oak Park, IL and has the professional credentials of DPM. The NPI Number for Mary M Disomma is 1396806840 and holds a License No. (Illinois).

The current practice location address for Mary M Disomma is 1100 Lake St, Oak Park, IL and can be reached out via phone at 708-383-5554 and via fax at 708-383-9321. You can also correspond with Mary M Disomma through the mailing address at 1100 LAKE ST, OAK PARK, IL - 60301-1015 (mailing address contact number: 708-383-5554).

Location: 1100 Lake St, Oak Park, IL, 60301-1015
person
Provider Profile Details
NPI Number
1396806840
Provider Name
Mary M Disomma
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1100 Lake St, Oak Park, IL, 60301-1015
Phone Number
708-383-5554
Fax Number
708-383-9321
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0160045851 05 IL
institution
Provider Business Practice Location Address Details
Address
1100 Lake St
City
State
Zip
60301-1015
Phone Number
708-383-5554
Fax Number
708-383-9321
person
Provider Business Mailing Address Details
Address
1100 Lake St
City
State
Zip
60301-1015
Phone Number
708-383-5554
Fax Number
708-383-9321
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...
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