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Organization
UNIVERSITY FOOT AND ANKLE SURGICAL FACILITY
Active
Organization
UNIVERSITY FOOT AND ANKLE SURGICAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ZYGMUNT D.P.M. (OWNER PHYSICIAN)
(630) 983-5694
Entity
Organization
Contact information
Practice address
552 S WASHINGTON ST, SUITE 116, NAPERVILLE, IL 60540-6658
(630) 983-5694
Mailing address
552 S WASHINGTON ST, SUITE 116, NAPERVILLE, IL 60540-6658
(630) 983-5694
Taxonomy
Speciality
Code
Description
License number
State
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
Primary
—
NULL
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
02/27/2008
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