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Organization
KV FOOT AND ANKLE PC
Active
Organization
KV FOOT AND ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH ANN SUMMER MATOUK DPM (PRESIDENT)
(708) 341-6428
Entity
Organization
Contact information
Practice address
629 COLUMBINE AVE, LISLE, IL 60532-2711
(708) 341-6428
Mailing address
629 COLUMBINE AVE, LISLE, IL 60532-2711
(708) 341-6428
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005612
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005612
IL
Other
Enumeration date
02/24/2017
Last updated
10/06/2017
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