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Organization
RAFATI FOOT AND ANKLE CLINIC LLC
Active
Organization
RAFATI FOOT AND ANKLE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURAD ABDEL-QADER (OWNER)
(219) 688-6292
Entity
Organization
Contact information
Practice address
815 N LARKIN AVE STE 100, JOLIET, IL 60435-3449
(219) 688-6292
Mailing address
9340 LOCHWOOD PL, TINLEY PARK, IL 60487-4797
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005230
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005230
IL
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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