# NORTH EASTERN OHIO PODIATRY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073260832
- **Authorized official:** ALLA GLUKH (PRACTICE MANAGER)
- **Authorized official phone:** (440) 953-3668

## Contact information

- **Practice address:** 25101 CHAGRIN BLVD STE 190, BEACHWOOD, OH 44122-5643
- **Practice address phone:** (440) 953-3668
- **Practice address fax:** (440) 953-3556
- **Mailing address:** 35010 CHARDON RD STE 101A, WILLOUGHBY HILLS, OH 44094-9011
- **Mailing address phone:** (440) 953-3668
- **Mailing address fax:** (440) 953-3556

## Taxonomy

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

## Other

- **Enumeration date:** 03/02/2022
- **Last updated:** 04/15/2025