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Irakly Pataraia, PODIATRICPHYSICIAN
Podiatrist in Northbrook, Illinois
NPI 1780051490

Irakly Pataraia is a Podiatrist based in Chicago, IL. Irakly Pataraia practices in Northbrook, IL and has the professional credentials of PODIATRICPHYSICIAN. The NPI Number for Irakly Pataraia is 1780051490 and holds a License No. 135001129 (Illinois).

The current practice location address for Irakly Pataraia is 1445 Shermer Rd Apt 5A, Northbrook, IL and can be reached out via phone at 815-463-0098 and via fax at 815-462-4955. You can also correspond with Irakly Pataraia through the mailing address at 4646 N MARINE DR, CHICAGO, IL - 60640-5759 (mailing address contact number: 773-878-8700).

Location: 1445 Shermer Rd Apt 5A, Northbrook, IL, 60640-5759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780051490
Provider Name
Irakly Pataraia
Credential
PODIATRICPHYSICIAN
Provider Entity Type
Individual
Gender
Male
Address
1445 Shermer Rd Apt 5A, Northbrook, IL, 60640-5759
Phone Number
815-463-0098
Fax Number
815-462-4955
Provider Enumeration Date
08/28/2015
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1445 Shermer Rd Apt 5A
City
Northbrook
State
Illinois
Zip
60062-5325
Phone Number
815-463-0098
Fax Number
815-462-4955
person
Provider Business Mailing Address Details
Address
4646 N Marine Dr
City
Chicago
State
Illinois
Zip
60640-5759
Phone Number
773-878-8700
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
135001129 (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.
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