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Organization
FOOT & ANKLE HEALTH CARE CENTER LTD
Active
Organization
FOOT & ANKLE HEALTH CARE CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM GOSHKO DPM (DPM / OWNER)
(773) 205-0106
Entity
Organization
Contact information
Practice address
5950 HOHMAN AVE, HAMMOND, IN 46320-2424
(219) 501-0115
(773) 205-8107
Mailing address
5501 W BELMONT AVE, CHICAGO, IL 60641-4130
(773) 205-0107
(312) 259-5972
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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