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Organization
ESSINGTON MEDICAL GROUP, INC
Active
Organization
ESSINGTON MEDICAL GROUP, INC
Active
Other names
Southshore Foot and ankle surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AN DUY LE DPM (OWNER)
(714) 244-0101
Entity
Organization
Contact information
Practice address
1026 ESSINGTON RD, JOLIET, IL 60435-2841
(714) 244-0101
Mailing address
1026 ESSINGTON RD, JOLIET, IL 60435-2841
(714) 244-0101
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005698
IL
Other
Enumeration date
04/11/2016
Last updated
07/27/2016
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