# OAK BROOK MEDICAL ASSOCIATES, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508989120
- **Authorized official:** DR. MANSOOR VIRANI DPM (OWNER)
- **Authorized official phone:** (630) 990-9500

## Contact information

- **Practice address:** 2425 W 22ND ST STE 215, OAK BROOK, IL 60523-4661
- **Practice address phone:** (630) 990-9500
- **Mailing address:** 2425 W 22ND ST, STE 215, OAK BROOK, IL 60523
- **Mailing address phone:** (630) 990-9500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016-004581 | IL | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 08/22/2020
