institution
Podomedik Clinics Llc.
Podiatric Clinic/Center in Gurnee, Illinois
NPI 1932454279

Podomedik Clinics Llc. is a Podiatric Clinic/Center based in Gurnee, IL and is specialized in Podiatric. Podomedik Clinics Llc. practices in Gurnee, IL. The NPI Number for Podomedik Clinics Llc. is 1932454279 and holds a License No. 016005265 (Illinois).

The current practice location address for Podomedik Clinics Llc. is 159 N Greenleaf St Ste 1, Gurnee, IL and can be reached out via phone at 847-249-3888 and via fax at 847-574-7477.

Location: 159 N Greenleaf St Ste 1, Gurnee, IL, 60031-3341
institution
Provider Profile Details
NPI Number
1932454279
Provider Name
Podomedik Clinics Llc.
Credential
Provider Entity Type
Organization
Address
159 N Greenleaf St Ste 1, Gurnee, IL, 60031-3341
Phone Number
847-249-3888
Fax Number
847-574-7477
Provider Enumeration Date
07/23/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016005265 05 IL
43241500 05 WI
WI1874 01 WI MEDICARE PTAN
IL4062 01 IL MEDICARE PTAN
1932454279 01 WI GROUP NPI
institution
Provider Business Practice Location Address Details
Address
159 N Greenleaf St Ste 1
City
State
Zip
60031-3341
Phone Number
847-249-3888
Fax Number
847-574-7477
person
Provider Business Mailing Address Details
Address
159 N Greenleaf St Ste 1
City
State
Zip
60031-3341
Phone Number
847-249-3888
Fax Number
847-574-7477
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
016005265 (Illinois)
Definition
Definition to come...
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