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Organization
MSW DPM INC
Active
Organization
MSW DPM INC
Active
Other names
MSW, DPM INC., Lincoln Park Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE WERNER CPC CPMA (CREDENTIALING MANAGER)
(630) 261-9286
Entity
Organization
Contact information
Practice address
1617 N CLYBOURN AVE, CHICAGO, IL 60614-5507
(773) 327-0006
Mailing address
1617 N CLYBOURN AVE, CHICAGO, IL 60614-5507
(773) 327-0006
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
02/11/2026
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