# PODOMEDIK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carmen Sebastian-Novell
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215043310
- **Authorized official:** DR. GERARDO PEREZ-ESPINDOLA DPM (PHYSICIAN)
- **Authorized official phone:** (856) 520-4513

## Contact information

- **Practice address:** 2634 GRAND AVE STE 102A, WAUKEGAN, IL 60085-2459
- **Practice address phone:** (847) 249-3888
- **Mailing address:** 2634 GRAND AVE STE 102A, WAUKEGAN, IL 60085-2459
- **Mailing address phone:** (847) 249-3888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 911025 | WI | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 07/31/2012