# ESSINGTON MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southshore Foot and ankle surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053775593
- **Authorized official:** DR. AN DUY LE DPM (OWNER)
- **Authorized official phone:** (714) 244-0101

## Contact information

- **Practice address:** 1026 ESSINGTON RD, JOLIET, IL 60435-2841
- **Practice address phone:** (714) 244-0101
- **Mailing address:** 1026 ESSINGTON RD, JOLIET, IL 60435-2841
- **Mailing address phone:** (714) 244-0101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016005698 | IL | Yes |

## Other

- **Enumeration date:** 04/11/2016
- **Last updated:** 07/27/2016