# AUDEY NASSER PODIATRY, PC

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

## Provider details

- **NPI number:** 1144695263
- **Authorized official:** AUDEY NASSER DPM (PODIATRIST)
- **Authorized official phone:** (313) 969-9775

## Contact information

- **Practice address:** 731 S IL ROUTE 21 STE 140, GURNEE, IL 60031-3812
- **Practice address phone:** (847) 295-9300
- **Practice address fax:** (847) 295-9607
- **Mailing address:** 731 S IL ROUTE 21 STE 140, GURNEE, IL 60031-3812
- **Mailing address phone:** (313) 969-9775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901002505 | MI | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/01/2015
- **Last updated:** 10/08/2026