institution
Edgewater Beach Foot And Ankle Center, P.c.
Primary Podiatric Medicine Podiatrist in Chicago, Illinois
NPI 1780801548

Edgewater Beach Foot And Ankle Center, P.c. is a Primary Podiatric Medicine Podiatrist based in Evanston, IL and is specialized in Primary Podiatric Medicine. Edgewater Beach Foot And Ankle Center, P.c. practices in Chicago, IL. The NPI Number for Edgewater Beach Foot And Ankle Center, P.c. is 1780801548 and holds a License No. 016002871 (Illinois).

The current practice location address for Edgewater Beach Foot And Ankle Center, P.c. is 5331 N Sheridan Rd, Chicago, IL and can be reached out via phone at 773-271-0807 and via fax at 484-723-7350.

Location: 5331 N Sheridan Rd, Chicago, IL, 60202-3445
institution
Provider Profile Details
NPI Number
1780801548
Provider Name
Edgewater Beach Foot And Ankle Center, P.c.
Credential
Provider Entity Type
Organization
Address
5331 N Sheridan Rd, Chicago, IL, 60202-3445
Phone Number
773-271-0807
Fax Number
484-723-7350
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480021114 01 IL MEDICARE PALMETTO
60000959 01 IL BLUE CROSS BLUE SHIELD
016002871 05 IL
institution
Provider Business Practice Location Address Details
Address
5331 N Sheridan Rd
City
State
Zip
60640-2531
Phone Number
773-271-0807
Fax Number
484-723-7350
person
Provider Business Mailing Address Details
Address
5331 N Sheridan Rd
City
State
Zip
60640-2531
Phone Number
773-271-0807
Fax Number
484-723-7350
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
016002871 (Illinois)
Definition
Definition to come...
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