institution
Beverly Podiatry Center, Llc
Foot Surgery Podiatrist in Chicago, Illinois
NPI 1790777118

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 Chicago, IL. The NPI Number for Beverly Podiatry Center, Llc is 1790777118 and holds a License No. (Illinois).

The current practice location address for Beverly Podiatry Center, Llc is 9933 S Western Ave, Chicago, IL and can be reached out via phone at 773-445-8700 and via fax at 773-445-4646. You can also correspond with Beverly Podiatry Center, Llc through the mailing address at 9933 S WESTERN AVE, CHICAGO, IL - 60643-1810 (mailing address contact number: 773-445-8700).

Location: 9933 S Western Ave, Chicago, IL, 60643-1810
institution
Provider Profile Details
NPI Number
1790777118
Provider Name
Beverly Podiatry Center, Llc
Credential
Provider Entity Type
Organization
Address
9933 S Western Ave, Chicago, IL, 60643-1810
Phone Number
773-445-8700
Fax Number
773-445-4646
Provider Enumeration Date
08/22/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600-15186 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
9933 S Western Ave
City
State
Zip
60643-1810
Phone Number
773-445-8700
Fax Number
773-445-4646
person
Provider Business Mailing Address Details
Address
9933 S Western Ave
City
State
Zip
60643-1810
Phone Number
773-445-8700
Fax Number
773-445-4646
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
(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.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Public Medicine
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
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 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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