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Organization
ADVANCED FOOT CARE OF PALATINE, P.C.
Active
Organization
ADVANCED FOOT CARE OF PALATINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID SURAN D.P.M. (PRESIDENT)
(847) 358-7005
Entity
Organization
Contact information
Practice address
711 W DUNDEE RD, PALATINE, IL 60074-0715
(847) 358-7005
(847) 358-7065
Mailing address
PO BOX 965, PALATINE, IL 60078-0965
(847) 358-7005
(847) 358-7065
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001608
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
06/25/2007
Last updated
10/26/2007
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