person
Dr. Darrell R Latva, DPM
Foot Surgery Podiatrist in Chicago, Illinois
NPI 1902890395

Darrell R Latva is a Foot Surgery Podiatrist based in Chicago, IL and is specialized in Foot Surgery. Darrell R Latva practices in Chicago, IL and has the professional credentials of DPM. The NPI Number for Darrell R Latva is 1902890395 and holds a License No. 016-003092 (Illinois).

The current practice location address for Darrell R Latva is 1108 S Kedzie Ave, Chicago, IL and can be reached out via phone at 773-722-2712.

Location: 1108 S Kedzie Ave, Chicago, IL, 60674-0035
person
Provider Profile Details
NPI Number
1902890395
Provider Name
Darrell R Latva
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1108 S Kedzie Ave, Chicago, IL, 60674-0035
Phone Number
773-722-2712
Fax Number
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016-003092-3 05 IL
institution
Provider Business Practice Location Address Details
Address
1108 S Kedzie Ave
City
State
Zip
60612-3935
Phone Number
773-722-2712
Fax Number
person
Provider Business Mailing Address Details
Address
1108 S Kedzie Ave
City
State
Zip
60612-3935
Phone Number
773-722-2712
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
016-003092 (Illinois)
Definition
Definition to come...
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