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Individual
DALE J. BURANOSKY
Active
Individual
DALE J. BURANOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004820
IL
213EP1101X
Primary Podiatric Medicine Podiatrist
016004820
IL
213ES0000X
Sports Medicine Podiatrist
016004820
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016004820
IL
213ES0131X
Foot Surgery Podiatrist
016004820
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004820
—
IL
01
—
200027778
RAILROAD MEDICARE
IL
Enumeration date
09/27/2005
Last updated
08/04/2023
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