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Organization
LAKE ZURICH PODIATRY PC
Active
Organization
LAKE ZURICH PODIATRY PC
Active
Other names
Lake Zurich Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH JEAN SOSINSKI D.P.M. (PRESIDENT)
(847) 540-0234
Entity
Organization
Contact information
Practice address
950 W MAIN ST, SUITE 105, LAKE ZURICH, IL 60047-3417
(847) 540-0234
(847) 540-0867
Mailing address
950 W MAIN ST, SUITE 105, LAKE ZURICH, IL 60047-3417
(847) 540-0234
(847) 540-0867
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-003263
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04927332
BLUE CROSS BLUE SHIELD
—
01
—
480001414
RAILROAD MEDICARE PTAN
—
01
—
DG9348
RAILROAD MEDICARE GROUP PTAN
IL
Enumeration date
03/22/2007
Last updated
10/20/2014
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